04D2187783 CLIA NUMBER - BAXTER HEALTH WILLOW STREET FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 04D2187783
  • Facility Name: BAXTER HEALTH WILLOW STREET FAMILY CLINIC
  • Facility Address: 406 NORTH WILLOW STREET
    HARRISON, AR
    ZIP 72601
  • Facility Phone: 870 741-3252
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER WEBB
  • NPI Number: 1568941433
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2187783
LAB Type Community Clinic
Facility Name BAXTER HEALTH WILLOW STREET FAMILY CLINIC
Street 406 NORTH WILLOW STREET
City HARRISON
State AR
ZIP 72601
Phone 870 741-3252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Community Clinic
Lab Director DR. CHRISTOPHER WEBB

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