04D0642052 CLIA NUMBER - PHYSICIANS DAY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 04D0642052
  • Facility Name: PHYSICIANS DAY SURGERY CENTER
  • Facility Address: 3805 W 28TH ST
    PINE BLUFF, AR
    ZIP 71603
  • Facility Phone: 870 536-4100
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BYRON N. WILKES
  • NPI Number: 1588603351
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0642052
LAB Type Ambulatory Surgery Center
Facility Name PHYSICIANS DAY SURGERY CENTER
Street 3805 W 28TH ST
City PINE BLUFF
State AR
ZIP 71603
Phone 870 536-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulatory Surgery Center
Lab Director BYRON N. WILKES

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