04D2283833 CLIA NUMBER - BAPTIST HEALTH URGENT CARE-RUSSELLVILLE W MAIN URGENT TEAM OF ARKANSAS PHYSICIANS, LLC

Laboratory Demographics

  • CLIA Code: 04D2283833
  • Facility Name: BAPTIST HEALTH URGENT CARE-RUSSELLVILLE W MAIN URGENT TEAM OF ARKANSAS PHYSICIANS, LLC
  • Facility Address: 511 WEST MAIN ST
    RUSSELLVILLE, AR
    ZIP 72801
  • Facility Phone: 479 223-5130
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: JENNIFER D. SHIPMAN
  • NPI Number: 1689467102
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2283833
LAB Type Other - URGENT CARE
Facility Name BAPTIST HEALTH URGENT CARE-RUSSELLVILLE W MAIN URGENT TEAM OF ARKANSAS PHYSICIANS, LLC
Street 511 WEST MAIN ST
City RUSSELLVILLE
State AR
ZIP 72801
Phone 479 223-5130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Other - URGENT CARE
Lab Director JENNIFER D. SHIPMAN

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