NAMIDA LAB INC.
NPI 1124646013
Clinical Medical Laboratory in Fayetteville, AR

Active since July 08, 2020CLIA 04D2182040 · Certificate of Compliance
1905 E MISSION BLVD STE 6, FAYETTEVILLE, AR 72703(479) 334-2828 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Namida Lab Inc. NPPES

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

NAMIDA LAB INC. (NPI 1124646013) is a healthcare organization registered as a clinical medical laboratory in Fayetteville, Arkansas and active in the NPI registry since July 2020. The organization holds a CLIA Certificate of Compliance certificate valid through June 23, 2028 and lists Mike Rutherford, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1124646013
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameNAMIDA LAB INC.
Location Address1905 E MISSION BLVD STE 6Fayetteville, AR 72703-3129
Mailing Address1905 E Mission Blvd Ste 6Fayetteville, AR 72703-3129 · (479) 334-2834
Organization SubpartNo
Authorized OfficialMike RutherfordDirector Of Operations · (479) 334-2834
Enumeration DateJuly 8, 2020
NPPES CertifiedJuly 8, 2020
NPI 1124646013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1905 E MISSION BLVD STE 6, Fayetteville, AR 72703

CLIA Laboratory Certificates CMS CLIA

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 Compliance 04D2182040

Namida Lab, Inc · Fayetteville, AR
Active · expires Jun 23, 2028
CLIA Number04D2182040
Laboratory TypeIndependent
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorDr. Chris M. Albertson
Laboratory Phone(479) 334-2828
Laboratory LocationNamida Lab, Inc1905 E Mission Blvd, Suite 6, Fayetteville, AR 72703
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1905 E MISSION BLVD STE 6
FAYETTEVILLE, AR 72703

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 Namida Lab Inc.'s NPI number?

The NPI number for Namida Lab Inc. is 1124646013. It was assigned to this organization in the NPPES registry on July 8, 2020.

Where is Namida Lab Inc. located?

Namida Lab Inc. is located at 1905 E Mission Blvd Ste 6, Fayetteville, AR 72703. The listed phone number is (479) 334-2828.

What is Namida Lab Inc.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Namida Lab Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 04D2182040) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Namida Lab Inc. was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.