04D2304512 CLIA NUMBER - LOWELL URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 04D2304512
  • Facility Name: LOWELL URGENT CARE LLC
  • Facility Address: 114 HARRISON AVE
    LOWELL, AR
    ZIP 72745
  • Facility Phone: 479 409-1093
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: WILLARD HOWARD III
  • NPI Number: 1528867801
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2304512
LAB Type Other - URGENT CARE
Facility Name LOWELL URGENT CARE LLC
Street 114 HARRISON AVE
City LOWELL
State AR
ZIP 72745
Phone 479 409-1093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Other - URGENT CARE
Lab Director WILLARD HOWARD III

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