04D2285031 CLIA NUMBER - WALK IN FAITH, PLLC DBA CABOT HEALTH & WELLNESS

Laboratory Demographics

CLIA Number: 04D2285031

Facility Name: WALK IN FAITH, PLLC DBA CABOT HEALTH & WELLNESS

Facility Address:
906 S PINE ST, STE 5
CABOT, AR
ZIP 72023
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Facility Phone Number: 501 422-6700

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1629754320

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	04D2285031
LAB Type	Practitioner Other
Facility Name	WALK IN FAITH, PLLC DBA CABOT HEALTH & WELLNESS
Street	906 S PINE ST, STE 5
City	CABOT
State	AR
ZIP	72023
Phone	501 422-6700
CertificateType	4
CertificateEffectiveDate	7/5/2023
CertificateExpirationDate	7/4/2025
FacilityType	Waiver

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