04D2305191 CLIA NUMBER - IRH MEDICAL GROUP,BATESVILLE FAMILY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 04D2305191
  • Facility Name: IRH MEDICAL GROUP,BATESVILLE FAMILY MEDICAL CLINIC
  • Facility Address: 3250 HARRISON ST STE 100
    BATESVILLE, AR
    ZIP 72501
  • Facility Phone: 870 297-9005
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: RENEE ROSS
  • NPI Number: 1568249704
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2305191
LAB Type Rural Health Clinic
Facility Name IRH MEDICAL GROUP,BATESVILLE FAMILY MEDICAL CLINIC
Street 3250 HARRISON ST STE 100
City BATESVILLE
State AR
ZIP 72501
Phone 870 297-9005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Rural Health Clinic
Lab Director RENEE ROSS

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