04D2273878 CLIA NUMBER - OZARK PROSTHODONTICS

Laboratory Demographics

  • CLIA Code: 04D2273878
  • Facility Name: OZARK PROSTHODONTICS
  • Facility Address: 3394 N FUTRALL DR
    FAYETTEVILLE, AR
    ZIP 72703
  • Facility Phone: 479 582-3360
  • Facility Type: Other - PROSTHODONTIST
  • Facility Type: Waiver
  • Lab Director: R DEAN MCNEEL
  • NPI Number: 1386373736
  • Taxonomy: 1223P0700X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 04D2273878
LAB Type Other - PROSTHODONTIST
Facility Name OZARK PROSTHODONTICS
Street 3394 N FUTRALL DR
City FAYETTEVILLE
State AR
ZIP 72703
Phone 479 582-3360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Other - PROSTHODONTIST
Lab Director R DEAN MCNEEL

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