04D2316225 CLIA NUMBER - NEW WAY WELLNESS

Laboratory Demographics

  • CLIA Code: 04D2316225
  • Facility Name: NEW WAY WELLNESS
  • Facility Address: 2200 SE J STREET, SUITE 12
    BENTONVILLE, AR
    ZIP 72712
  • Facility Phone: 479 364-0462
  • Facility Type: Other - ADULT PRIMARY CARE
  • Facility Type: Waiver
  • Lab Director: MS. STEPHANIE BURKS
  • NPI Number: 1063232197
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2316225
LAB Type Other - ADULT PRIMARY CARE
Facility Name NEW WAY WELLNESS
Street 2200 SE J STREET, SUITE 12
City BENTONVILLE
State AR
ZIP 72712
Phone 479 364-0462
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Other - ADULT PRIMARY CARE
Lab Director MS. STEPHANIE BURKS

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