04D2258558 CLIA NUMBER - UNITY HEALTH NEWPORT FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 04D2258558
  • Facility Name: UNITY HEALTH NEWPORT FAMILY PRACTICE
  • Facility Address: 1200 MCLAIN STREET, SUITE B
    NEWPORT, AR
    ZIP 72112
  • Facility Phone: 870 523-2320
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. BRANDY PARKRIDGE
  • NPI Number: 1093475469
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2258558
LAB Type Physician Office
Facility Name UNITY HEALTH NEWPORT FAMILY PRACTICE
Street 1200 MCLAIN STREET, SUITE B
City NEWPORT
State AR
ZIP 72112
Phone 870 523-2320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Physician Office
Lab Director MS. BRANDY PARKRIDGE

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