04D2288538 CLIA NUMBER - AR RURAL DIAGNOSTICS PCR, LLC

Laboratory Demographics

  • CLIA Code: 04D2288538
  • Facility Name: AR RURAL DIAGNOSTICS PCR, LLC
  • Facility Address: 19 MEDICAL PLAZA, SUITE 20
    MOUNTAIN HOME, AR
    ZIP 72653
  • Facility Phone: 870 218-0683
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: SUNG W. CHOI
  • NPI Number: 1992413710
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 04D2288538
LAB Type Independent
Facility Name AR RURAL DIAGNOSTICS PCR, LLC
Street 19 MEDICAL PLAZA, SUITE 20
City MOUNTAIN HOME
State AR
ZIP 72653
Phone 870 218-0683
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Independent
Lab Director SUNG W. CHOI

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