04D2176845 CLIA NUMBER - VECTOR HEALTH AND WELLNESS LLC

Laboratory Demographics

CLIA Number: 04D2176845

Facility Name: VECTOR HEALTH AND WELLNESS LLC

Facility Address:
1267 STEAMBOAT DR, STE 3
FAYETTEVILLE, AR
ZIP 72704
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Facility Phone Number: 479 316-6565

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1720620230

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 04D2176845
LAB Type Physician Office
Facility Name VECTOR HEALTH AND WELLNESS LLC
Street 1267 STEAMBOAT DR, STE 3
City FAYETTEVILLE
State AR
ZIP 72704
Phone 479 316-6565
CertificateType 3
CertificateEffectiveDate 12/27/2023
CertificateExpirationDate 12/26/2025
FacilityType PPMP

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This page was last updated on: 4/23/2024