04D2265080 CLIA NUMBER - KINDBODY OF AR MEDICAL PRACTICE

Laboratory Demographics

  • CLIA Code: 04D2265080
  • Facility Name: KINDBODY OF AR MEDICAL PRACTICE
  • Facility Address: 2203 S PROMENADE BLVD, SUITE #5185
    ROGERS, AR
    ZIP 72758
  • Facility Phone: 855 563-2639
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. TARIQ A. SHAH
  • NPI Number: 1891355863
  • Taxonomy: 207VE0102X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 04D2265080
LAB Type Physician Office
Facility Name KINDBODY OF AR MEDICAL PRACTICE
Street 2203 S PROMENADE BLVD, SUITE #5185
City ROGERS
State AR
ZIP 72758
Phone 855 563-2639
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director DR. TARIQ A. SHAH

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