04D0467136 CLIA NUMBER - RENAL ASSOCIATES RENAL CONSULTANTS

Laboratory Demographics

  • CLIA Code: 04D0467136
  • Facility Name: RENAL ASSOCIATES RENAL CONSULTANTS
  • Facility Address: 9601 BAPTIST HEALTH DR SUITE 400
    LITTLE ROCK, AR
    ZIP 72205
  • Facility Phone: 501 664-9881
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHANE KIMBALL
  • NPI Number: 1215999156
  • Taxonomy: 207RN0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D0467136
LAB Type Physician Office
Facility Name RENAL ASSOCIATES RENAL CONSULTANTS
Street 9601 BAPTIST HEALTH DR SUITE 400
City LITTLE ROCK
State AR
ZIP 72205
Phone 501 664-9881
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description 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.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director SHANE KIMBALL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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