04D2306935 CLIA NUMBER - WEST POINT LLC

Laboratory Demographics

  • CLIA Code: 04D2306935
  • Facility Name: WEST POINT LLC
  • Facility Address: 402 SOUTH MAIN
    DE WITT, AR
    ZIP 72042
  • Facility Phone: 870 946-0198
  • Facility Type: Other - FAMILY AND PSYCH INTEGRAT
  • Facility Type: Waiver
  • Lab Director: DEBRA C. WEST
  • NPI Number: 1134974553
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2306935
LAB Type Other - FAMILY AND PSYCH INTEGRAT
Facility Name WEST POINT LLC
Street 402 SOUTH MAIN
City DE WITT
State AR
ZIP 72042
Phone 870 946-0198
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Other - FAMILY AND PSYCH INTEGRAT
Lab Director DEBRA C. WEST

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