04D2222709 CLIA NUMBER - BAPTIST HEALTH FAMILY CLINIC SPARKMAN

Laboratory Demographics

  • CLIA Code: 04D2222709
  • Facility Name: BAPTIST HEALTH FAMILY CLINIC SPARKMAN
  • Facility Address: 104 WEST TAYLOR STREET
    SPARKMAN, AR
    ZIP 71763
  • Facility Phone: 870 678-4010
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. BRYAN MCDONNELL
  • NPI Number: 1427630110
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2222709
LAB Type Community Clinic
Facility Name BAPTIST HEALTH FAMILY CLINIC SPARKMAN
Street 104 WEST TAYLOR STREET
City SPARKMAN
State AR
ZIP 71763
Phone 870 678-4010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Community Clinic
Lab Director DR. BRYAN MCDONNELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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