04D2239761 CLIA NUMBER - FOX MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 04D2239761
  • Facility Name: FOX MEDICAL CLINIC
  • Facility Address: 2920 EAST MOORE AVE
    SEARCY, AR
    ZIP 72143
  • Facility Phone: 501 203-0123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CLINTON W. FOX
  • NPI Number: 1427700418
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2239761
LAB Type Physician Office
Facility Name FOX MEDICAL CLINIC
Street 2920 EAST MOORE AVE
City SEARCY
State AR
ZIP 72143
Phone 501 203-0123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Physician Office
Lab Director DR. CLINTON W. FOX

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