04D2263809 CLIA NUMBER - HOUSER FAMILY MEDICAL

Laboratory Demographics

  • CLIA Code: 04D2263809
  • Facility Name: HOUSER FAMILY MEDICAL
  • Facility Address: 101 WEST MAIN
    LOCKESBURG, AR
    ZIP 71846
  • Facility Phone: 870 289-0001
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JESSICA A. HOUSER
  • NPI Number: 1912631375
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 04D2263809
LAB Type Practitioner Other
Facility Name HOUSER FAMILY MEDICAL
Street 101 WEST MAIN
City LOCKESBURG
State AR
ZIP 71846
Phone 870 289-0001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Practitioner Other
Lab Director JESSICA A. HOUSER

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