04D2284134 CLIA NUMBER - MORRILTON KWIK KARE

Laboratory Demographics

CLIA Number: 04D2284134

Facility Name: MORRILTON KWIK KARE

Facility Address:
110 E RAILROAD AVE
MORRILTON, AR
ZIP 72110
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Facility Phone Number: 501 208-1006

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144312299

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	04D2284134
LAB Type	Physician Office
Facility Name	MORRILTON KWIK KARE
Street	110 E RAILROAD AVE
City	MORRILTON
State	AR
ZIP	72110
Phone	501 208-1006
CertificateType	4
CertificateEffectiveDate	6/19/2023
CertificateExpirationDate	6/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024