04D2241332 CLIA NUMBER - CAMP INTERVENTIONAL PAIN ASSOCIATES

Laboratory Demographics

  • CLIA Code: 04D2241332
  • Facility Name: CAMP INTERVENTIONAL PAIN ASSOCIATES
  • Facility Address: 2900 MEDICAL CENTER PKWY, SUITE 110
    BENTONVILLE, AR
    ZIP 72712
  • Facility Phone: 479 715-4262
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NICHOLAS B. CAMP
  • NPI Number: 1871060079
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 04D2241332
LAB Type Physician Office
Facility Name CAMP INTERVENTIONAL PAIN ASSOCIATES
Street 2900 MEDICAL CENTER PKWY, SUITE 110
City BENTONVILLE
State AR
ZIP 72712
Phone 479 715-4262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Physician Office
Lab Director DR. NICHOLAS B. CAMP

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