04D2252513 CLIA NUMBER - JMAC MEDICAL

Laboratory Demographics

  • CLIA Code: 04D2252513
  • Facility Name: JMAC MEDICAL
  • Facility Address: 403 MORROW ST NORTH, SUITE F
    MENA, AR
    ZIP 71953
  • Facility Phone: 479 437-6080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. JAMES R. MCWILLIAMS
  • NPI Number: 1043965734
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2252513
LAB Type Physician Office
Facility Name JMAC MEDICAL
Street 403 MORROW ST NORTH, SUITE F
City MENA
State AR
ZIP 71953
Phone 479 437-6080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Physician Office
Lab Director MR. JAMES R. MCWILLIAMS

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