04D2219905 CLIA NUMBER - ADVANCED PRIMARY CARE TOTEM HEALTH, PLLC

Laboratory Demographics

  • CLIA Code: 04D2219905
  • Facility Name: ADVANCED PRIMARY CARE TOTEM HEALTH, PLLC
  • Facility Address: 5320 WEST SUNSET, SUITE 157
    SPRINGDALE, AR
    ZIP 72762
  • Facility Phone: 479 966-7331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAIGE N. BOWEN
  • NPI Number: 1770100752
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2219905
LAB Type Physician Office
Facility Name ADVANCED PRIMARY CARE TOTEM HEALTH, PLLC
Street 5320 WEST SUNSET, SUITE 157
City SPRINGDALE
State AR
ZIP 72762
Phone 479 966-7331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Physician Office
Lab Director PAIGE N. BOWEN

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