04D2309061 CLIA NUMBER - WOMEN'S SPECIALTY GROUP, PLLC

Laboratory Demographics

  • CLIA Code: 04D2309061
  • Facility Name: WOMEN'S SPECIALTY GROUP, PLLC
  • Facility Address: 2900 MEDICAL CENTER PKWY, SUITE 380
    BENTONVILLE, AR
    ZIP 72712
  • Facility Phone: 479 553-3340
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KATIE E. BEAL
  • NPI Number: 1508626359
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 04D2309061
LAB Type Physician Office
Facility Name WOMEN'S SPECIALTY GROUP, PLLC
Street 2900 MEDICAL CENTER PKWY, SUITE 380
City BENTONVILLE
State AR
ZIP 72712
Phone 479 553-3340
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. KATIE E. BEAL

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