04D2272706 CLIA NUMBER - TAYLOR MADE HEALTH AND WELLNESS

Laboratory Demographics

  • CLIA Code: 04D2272706
  • Facility Name: TAYLOR MADE HEALTH AND WELLNESS
  • Facility Address: 403 E MAIN ST
    MARSHALL, AR
    ZIP 72650
  • Facility Phone: 870 504-2944
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: AMANDA L. STEEN
  • NPI Number: 1700522422
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 04D2272706
LAB Type Independent
Facility Name TAYLOR MADE HEALTH AND WELLNESS
Street 403 E MAIN ST
City MARSHALL
State AR
ZIP 72650
Phone 870 504-2944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Independent
Lab Director AMANDA L. STEEN

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