04D2167408 CLIA NUMBER - INTEGRATIVE ALLERGY AND WELLNESS

Laboratory Demographics

  • CLIA Code: 04D2167408
  • Facility Name: INTEGRATIVE ALLERGY AND WELLNESS
  • Facility Address: 1319 REDWOLF BLVD SUITE C
    JONESBORO, AR
    ZIP 72401
  • Facility Phone: 870 236-3388
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LISA HENDRIX
  • NPI Number: 1952877029
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2167408
LAB Type Physician Office
Facility Name INTEGRATIVE ALLERGY AND WELLNESS
Street 1319 REDWOLF BLVD SUITE C
City JONESBORO
State AR
ZIP 72401
Phone 870 236-3388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director DR. LISA HENDRIX

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025