04D2296921 CLIA NUMBER - ACCESS MEDICAL CLINIC ARKANSAS LLC

Laboratory Demographics

  • CLIA Code: 04D2296921
  • Facility Name: ACCESS MEDICAL CLINIC ARKANSAS LLC
  • Facility Address: 1702 MALCOLM AVE
    NEWPORT, AR
    ZIP 72112
  • Facility Phone: 870 856-1202
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK S. HAHN
  • NPI Number: 1912696923
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2296921
LAB Type Physician Office
Facility Name ACCESS MEDICAL CLINIC ARKANSAS LLC
Street 1702 MALCOLM AVE
City NEWPORT
State AR
ZIP 72112
Phone 870 856-1202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director DR. MARK S. HAHN

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