04D2169486 CLIA NUMBER - WASHINGTON REGIONAL URGENT CARE-HARRISON,AR URGENT TEAM OF ARKANSAS PHYSICIANS, LLC

Laboratory Demographics

  • CLIA Code: 04D2169486
  • Facility Name: WASHINGTON REGIONAL URGENT CARE-HARRISON,AR URGENT TEAM OF ARKANSAS PHYSICIANS, LLC
  • Facility Address: 808 US 65
    HARRISON, AR
    ZIP 72601
  • Facility Phone: 870 204-7263
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. JENNIFER D. SHIPMAN
  • NPI Number: 1548811870
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2169486
LAB Type Physician Office
Facility Name WASHINGTON REGIONAL URGENT CARE-HARRISON,AR URGENT TEAM OF ARKANSAS PHYSICIANS, LLC
Street 808 US 65
City HARRISON
State AR
ZIP 72601
Phone 870 204-7263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Physician Office
Lab Director MS. JENNIFER D. SHIPMAN

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