04D2225424 CLIA NUMBER - NWA HEALTH SOLUTIONS, PA

Laboratory Demographics

  • CLIA Code: 04D2225424
  • Facility Name: NWA HEALTH SOLUTIONS, PA
  • Facility Address: 55300 S SOUTHERN HILLS CT, SUITE 200
    ROGERS, AR
    ZIP 72758
  • Facility Phone: 479 636-1324
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SAMANTHA C. CHALIGOJ
  • NPI Number: 1760782510
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 04D2225424
LAB Type Practitioner Other
Facility Name NWA HEALTH SOLUTIONS, PA
Street 55300 S SOUTHERN HILLS CT, SUITE 200
City ROGERS
State AR
ZIP 72758
Phone 479 636-1324
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Practitioner Other
Lab Director SAMANTHA C. CHALIGOJ

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