04D2300175 CLIA NUMBER - TRUHEALTH FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 04D2300175
  • Facility Name: TRUHEALTH FAMILY CLINIC
  • Facility Address: 2630 E CITIZENS DR STE 3
    FAYETTEVILLE, AR
    ZIP 72703
  • Facility Phone: 479 527-9966
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: SHERYL CASH
  • NPI Number: 1053347633
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2300175
LAB Type Federally Qualified Health Center
Facility Name TRUHEALTH FAMILY CLINIC
Street 2630 E CITIZENS DR STE 3
City FAYETTEVILLE
State AR
ZIP 72703
Phone 479 527-9966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Federally Qualified Health Center
Lab Director SHERYL CASH

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