04D2175893 CLIA NUMBER - CENTRAL ARKANSAS FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 04D2175893
  • Facility Name: CENTRAL ARKANSAS FAMILY CLINIC
  • Facility Address: 1106 S PINE STREET, STE B
    CABOT, AR
    ZIP 72023
  • Facility Phone: 501 422-6373
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLY GRIFFITH
  • NPI Number: 1811551336
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 04D2175893
LAB Type Physician Office
Facility Name CENTRAL ARKANSAS FAMILY CLINIC
Street 1106 S PINE STREET, STE B
City CABOT
State AR
ZIP 72023
Phone 501 422-6373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director KIMBERLY GRIFFITH

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