04D2269805 CLIA NUMBER - FAYETTEVILLE CHRISTIAN SCHOOL

Laboratory Demographics

  • CLIA Code: 04D2269805
  • Facility Name: FAYETTEVILLE CHRISTIAN SCHOOL
  • Facility Address: 2006 MISSION BOULEVARD
    FAYETTEVILLE, AR
    ZIP 72703
  • Facility Phone: 479 442-2565
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: KYNDEL BRECHEISER
  • NPI Number: 1073727756
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 04D2269805
LAB Type School/Student Health Service
Facility Name FAYETTEVILLE CHRISTIAN SCHOOL
Street 2006 MISSION BOULEVARD
City FAYETTEVILLE
State AR
ZIP 72703
Phone 479 442-2565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type School/Student Health Service
Lab Director KYNDEL BRECHEISER

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