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04D2211596 CLIA NUMBER - PAFFORD HEALTH SYSTEMS, MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 04D2211596

Facility Name: PAFFORD HEALTH SYSTEMS, MEDICAL CLINIC

Facility Address:
100 EAST 20TH STREET, SUITE D
HOPE, AR
ZIP 71801
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Facility Phone Number: 870 729-1911

Facility Type: Community Clinic

Certificate Type: Certificate of Compliance
NPI Number: 1164027231

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name Field Value
CLIA Number 04D2211596
LAB Type Community Clinic
Facility Name PAFFORD HEALTH SYSTEMS, MEDICAL CLINIC
Street 100 EAST 20TH STREET, SUITE D
City HOPE
State AR
ZIP 71801
Phone 870 729-1911
CertificateType 2
CertificateEffectiveDate 6/28/2022
CertificateExpirationDate 6/27/2024
FacilityType Compliance

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