Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
04D2310270
|
|
Clinical laboratory number
|
|
Lab Name
|
BAXTER HEALTH COLLEGE STREET FAMILY CLINIC
|
|
Laboratory Name
|
|
Lab Type
|
Community Clinic
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
870-508-6790
|
|
Laboratory telephone number
|
|
Fax
|
870-508-6795
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
400 S COLLEGE STREET SUITE 5
|
|
Primary location adress line
|
|
City
|
MOUNTAIN HOME
|
|
Primary location city name
|
|
State
|
AR
|
|
Primary location state name
|
|
Zip
|
72653
|
|
Primary location postal code
|