GREENBRIER CHILDRENS CLINIC
NPI 1003189606
Clinic/Center - Rural Health in Greenbrier, AR

Active since February 14, 2012CLIA Certified · 2 labs
10 LOIS LANE, GREENBRIER, AR 72058(501) 679-6796 Get Directions Write a Review

NPPES record last updated: February 14, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Greenbrier Childrens Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREENBRIER CHILDRENS CLINIC (NPI 1003189606) is a healthcare organization registered as a rural health in Greenbrier, Arkansas and active in the NPI registry since February 2012. The organization holds 2 active CLIA laboratory certificates and lists Michael Connaughton, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1003189606
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCONWAY CHILDRENS CLINIC PA CORP
Location Address10 LOIS LANEGreenbrier, AR 72058
Mailing Address10 Lois LaneGreenbrier, AR 72058 · (501) 679-6796
Organization SubpartNo
Authorized OfficialMichael ConnaughtonOwner/md · (501) 327-6000
Enumeration DateFebruary 14, 2012
NPI 1003189606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
10 LOIS LANE, Greenbrier, AR 72058

Other Names 1

Doing Business AsGreenbrier Childrens Clinic

Other Identifiers 1

Other043872Cms#

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2197980

Conway Childrens Clinic Greenbrier · Greenbrier, AR
Active · expires Oct 28, 2026
CLIA Number04D2197980
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorKelly A. Staley
Laboratory Phone(501) 327-6000
Laboratory LocationConway Childrens Clinic Greenbrier10 Lois Lane, Greenbrier, AR 72058
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D0466258

Conway Childrens Clinic · Conway, AR
Active · expires Aug 31, 2026
CLIA Number04D0466258
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDeborah Wingfield
Laboratory Phone(501) 327-6000
Laboratory LocationConway Childrens Clinic2505 College Ave, Conway, AR 72034
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conway Childrens Clinic PA Corp's NPI number?

The NPI number for Conway Childrens Clinic PA Corp is 1003189606. It was assigned to this organization in the NPPES registry on February 14, 2012. The provider is doing business as Greenbrier Childrens Clinic.

Where is Conway Childrens Clinic PA Corp located?

Conway Childrens Clinic PA Corp is located at 10 Lois Lane, Greenbrier, AR 72058. The listed phone number is (501) 679-6796.

What is Conway Childrens Clinic PA Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Conway Childrens Clinic PA Corp hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Conway Childrens Clinic PA Corp was last updated on February 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.