04D2301559 CLIA NUMBER - DYNAMIC HEALTHCARE

Laboratory Demographics

  • CLIA Code: 04D2301559
  • Facility Name: DYNAMIC HEALTHCARE
  • Facility Address: 110 LAPLAZA WEST, SUITE D
    HOT SPRINGS VILLAGE, AR
    ZIP 71909
  • Facility Phone: 501 226-3090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHARINE HURST
  • NPI Number: 1346009073
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2301559
LAB Type Physician Office
Facility Name DYNAMIC HEALTHCARE
Street 110 LAPLAZA WEST, SUITE D
City HOT SPRINGS VILLAGE
State AR
ZIP 71909
Phone 501 226-3090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Physician Office
Lab Director KATHARINE HURST

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