04D2205565 CLIA NUMBER - AR JOURNEY LAB

Laboratory Demographics

  • CLIA Code: 04D2205565
  • Facility Name: AR JOURNEY LAB
  • Facility Address: 3111 MILITARY ROAD
    BENTON, AR
    ZIP 72015
  • Facility Phone: 501 204-8749
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: KIMBERLY F. STARR
  • NPI Number: 1558929224
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 04D2205565
LAB Type Independent
Facility Name AR JOURNEY LAB
Street 3111 MILITARY ROAD
City BENTON
State AR
ZIP 72015
Phone 501 204-8749
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2023
Certificate Expiration Date 10/1/2025
Facility Type Independent
Lab Director KIMBERLY F. STARR

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