04D0467077 CLIA NUMBER - PRIME MEDICAL GROUP PLLC

Laboratory Demographics

  • CLIA Code: 04D0467077
  • Facility Name: PRIME MEDICAL GROUP PLLC
  • Facility Address: 9601 BAPTIST HEALTH DRIVE MED TOWERS I, SUITE 230
    LITTLE ROCK, AR
    ZIP 72205
  • Facility Phone: 501 227-8422
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RAY K. PARKER
  • NPI Number: 1528667672
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 04D0467077
LAB Type Physician Office
Facility Name PRIME MEDICAL GROUP PLLC
Street 9601 BAPTIST HEALTH DRIVE MED TOWERS I, SUITE 230
City LITTLE ROCK
State AR
ZIP 72205
Phone 501 227-8422
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Physician Office
Lab Director DR. RAY K. PARKER

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