04D2300073 CLIA NUMBER - PEA RIDGE URGENT CARE CLINIC

Laboratory Demographics

  • CLIA Code: 04D2300073
  • Facility Name: PEA RIDGE URGENT CARE CLINIC
  • Facility Address: 2103 SLACK ST
    PEA RIDGE, AR
    ZIP 72751
  • Facility Phone: 417 379-8353
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ALAN SCHUMACHER
  • NPI Number: 1013067065
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 04D2300073
LAB Type Physician Office
Facility Name PEA RIDGE URGENT CARE CLINIC
Street 2103 SLACK ST
City PEA RIDGE
State AR
ZIP 72751
Phone 417 379-8353
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/26/2024
Certificate Expiration Date 11/25/2026
Facility Type Physician Office
Lab Director DR. ALAN SCHUMACHER

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