04D2252363 CLIA NUMBER - CARLTON FAMILY PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 04D2252363
  • Facility Name: CARLTON FAMILY PRACTICE LLC
  • Facility Address: 3111 MILITARY
    BENTON, AR
    ZIP 72015
  • Facility Phone: 501 304-8204
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: APRIL CARLTON
  • NPI Number: 1972176261
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 04D2252363
LAB Type Physician Office
Facility Name CARLTON FAMILY PRACTICE LLC
Street 3111 MILITARY
City BENTON
State AR
ZIP 72015
Phone 501 304-8204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Physician Office
Lab Director APRIL CARLTON

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