04D2309048 CLIA NUMBER - SILVER BIRCH MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 04D2309048
  • Facility Name: SILVER BIRCH MEDICAL CLINIC
  • Facility Address: 4052 E VAN BUREN, STE A
    EUREKA SPRINGS, AR
    ZIP 72632
  • Facility Phone: 479 379-8082
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER S. BARANYK
  • NPI Number: 1619705019
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2309048
LAB Type Physician Office
Facility Name SILVER BIRCH MEDICAL CLINIC
Street 4052 E VAN BUREN, STE A
City EUREKA SPRINGS
State AR
ZIP 72632
Phone 479 379-8082
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director DR. CHRISTOPHER S. BARANYK

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