04D2316465 CLIA NUMBER - PRIORITY HEALTH CLINIC LLC

Laboratory Demographics

  • CLIA Code: 04D2316465
  • Facility Name: PRIORITY HEALTH CLINIC LLC
  • Facility Address: 500 PARK STREET
    BLYTHEVILLE, AR
    ZIP 72315
  • Facility Phone: 870 860-7074
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: RACHAEL M. CHANDLER
  • NPI Number: 1447066485
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2316465
LAB Type Independent
Facility Name PRIORITY HEALTH CLINIC LLC
Street 500 PARK STREET
City BLYTHEVILLE
State AR
ZIP 72315
Phone 870 860-7074
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Independent
Lab Director RACHAEL M. CHANDLER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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