04D2170305 CLIA NUMBER - DESIGNING HEALTH DESTINY BOUND, LLC

Laboratory Demographics

  • CLIA Code: 04D2170305
  • Facility Name: DESIGNING HEALTH DESTINY BOUND, LLC
  • Facility Address: 1597 ELM SPRINGS ROAD
    SPRINGDALE, AR
    ZIP 72762
  • Facility Phone: 479 409-5479
  • Facility Type: Other - CERT PROF MIDWIFE, LLM
  • Facility Type: Waiver
  • Lab Director: TERESA R. FEDOSKY
  • NPI Number: 1427607019
  • Taxonomy: 176B00000X - Midwife

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2170305
LAB Type Other - CERT PROF MIDWIFE, LLM
Facility Name DESIGNING HEALTH DESTINY BOUND, LLC
Street 1597 ELM SPRINGS ROAD
City SPRINGDALE
State AR
ZIP 72762
Phone 479 409-5479
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2023
Certificate Expiration Date 8/6/2025
Facility Type Other - CERT PROF MIDWIFE, LLM
Lab Director TERESA R. FEDOSKY

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: 6/4/2025