04D2241932 CLIA NUMBER - WOODSIDE MEDICAL CARMICAL MEDICAL, PLLC

Laboratory Demographics

  • CLIA Code: 04D2241932
  • Facility Name: WOODSIDE MEDICAL CARMICAL MEDICAL, PLLC
  • Facility Address: 940 OLD WARREN ROAD
    MONTICELLO, AR
    ZIP 71655
  • Facility Phone: 870 224-4411
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MS. WHITNEY P. EASON
  • NPI Number: 1629651955
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2241932
LAB Type Physician Office
Facility Name WOODSIDE MEDICAL CARMICAL MEDICAL, PLLC
Street 940 OLD WARREN ROAD
City MONTICELLO
State AR
ZIP 71655
Phone 870 224-4411
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Physician Office
Lab Director MS. WHITNEY P. EASON

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