04D2205910 CLIA NUMBER - WHITE HALL SCHOOL DISTRICT

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Laboratory Demographics

CLIA Number: 04D2205910

Facility Name: WHITE HALL SCHOOL DISTRICT

Facility Address:
700 MOODY DRIVE
WHITE HALL, AR
ZIP 71602
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Facility Phone Number: 870 939-5329

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1962925321

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	04D2205910
LAB Type	School/Student Health Service
Facility Name	WHITE HALL SCHOOL DISTRICT
Street	700 MOODY DRIVE
City	WHITE HALL
State	AR
ZIP	71602
Phone	870 939-5329
CertificateType	4
CertificateEffectiveDate	12/16/2022
CertificateExpirationDate	12/15/2024
FacilityType	Waiver

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