04D2227037 CLIA NUMBER - CACHE RIVER MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 04D2227037
  • Facility Name: CACHE RIVER MEDICAL CLINIC
  • Facility Address: 115 W KIMBERLY DRIVE
    MCCRORY, AR
    ZIP 72101
  • Facility Phone: 870 731-0640
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEVE E. WAMPLER
  • NPI Number: 1780268235
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2227037
LAB Type Physician Office
Facility Name CACHE RIVER MEDICAL CLINIC
Street 115 W KIMBERLY DRIVE
City MCCRORY
State AR
ZIP 72101
Phone 870 731-0640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director DR. STEVE E. WAMPLER

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