04D2218208 CLIA NUMBER - WOMENS WELLNESS AND AESTHETICS, LLC

Laboratory Demographics

  • CLIA Code: 04D2218208
  • Facility Name: WOMENS WELLNESS AND AESTHETICS, LLC
  • Facility Address: 330 HWY 5 N SUITE 10
    MOUNTAIN HOME, AR
    ZIP 72653
  • Facility Phone: 870 232-0900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LARA A. MAY
  • NPI Number: 1184217929
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2218208
LAB Type Physician Office
Facility Name WOMENS WELLNESS AND AESTHETICS, LLC
Street 330 HWY 5 N SUITE 10
City MOUNTAIN HOME
State AR
ZIP 72653
Phone 870 232-0900
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Physician Office
Lab Director LARA A. MAY

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