04D0467282 CLIA NUMBER - CENTRAL MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 04D0467282
  • Facility Name: CENTRAL MEDICAL GROUP
  • Facility Address: 1 ST VINCENT CIRCLE, SUITE 350
    LITTLE ROCK, AR
    ZIP 72205
  • Facility Phone: 501 664-5932
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TOMMY L. LOVE
  • NPI Number: 1205895232
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D0467282
LAB Type Physician Office
Facility Name CENTRAL MEDICAL GROUP
Street 1 ST VINCENT CIRCLE, SUITE 350
City LITTLE ROCK
State AR
ZIP 72205
Phone 501 664-5932
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director DR. TOMMY L. LOVE

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