04D1062383 CLIA NUMBER - Northwest Medical Plaza At Sugar Creek

Laboratory Demographics

CLIA Number:
04D1062383

Facility Name:
Northwest Medical Plaza At Sugar Creek

Facility Address:
1102 Nw Lowes Ave Suite 2
Bentonville, AR
ZIP 72712

Facility Phone Number:
(479) 254-8563

Facility Type:
PHYSICIAN OFFICE

Certificate Type:
Certificate of Compliance

Map - Location of Facility

CLIA Record

No. Field Name Field Value
1 CLIA Number 04D1062383
2 LAB Type PHYSICIAN OFFICE
3 Facility Name Northwest Medical Plaza At Sugar Creek
4 Street 1102 Nw Lowes Ave Suite 2
5 City Bentonville
6 State AR
7 ZIP 72712
8 Phone 4792548563

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This page was last updated on: 2/18/2014