04D2300175 CLIA NUMBER - TRUHEALTH FAMILY CLINIC

Laboratory Demographics

CLIA Number: 04D2300175

Facility Name: TRUHEALTH FAMILY CLINIC

Facility Address:
2630 E CITIZENS DR STE 3
FAYETTEVILLE, AR
ZIP 72703
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Facility Phone Number: 479 527-9966

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1053347633

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	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
CertificateType	4
CertificateEffectiveDate	3/5/2024
CertificateExpirationDate	3/4/2026
FacilityType	Waiver

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