04D2272865 CLIA NUMBER - ACCESS MEDICAL CLINIC ARKANSAS LLC

Laboratory Demographics

  • CLIA Code: 04D2272865
  • Facility Name: ACCESS MEDICAL CLINIC ARKANSAS LLC
  • Facility Address: 314 N 18TH ST
    OZARK, AR
    ZIP 72949
  • Facility Phone: 870 856-1202
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK HAHN
  • NPI Number: 1831810431
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2272865
LAB Type Physician Office
Facility Name ACCESS MEDICAL CLINIC ARKANSAS LLC
Street 314 N 18TH ST
City OZARK
State AR
ZIP 72949
Phone 870 856-1202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director DR. MARK HAHN

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