04D0687389 CLIA NUMBER - LITTLE ROCK SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 04D0687389
  • Facility Name: LITTLE ROCK SURGERY CENTER
  • Facility Address: 8820 KNOEDL COURT
    LITTLE ROCK, AR
    ZIP 72205
  • Facility Phone: 501 224-6767
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEPHEN BARNETT
  • NPI Number: 1659340404
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0687389
LAB Type Ambulatory Surgery Center
Facility Name LITTLE ROCK SURGERY CENTER
Street 8820 KNOEDL COURT
City LITTLE ROCK
State AR
ZIP 72205
Phone 501 224-6767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Ambulatory Surgery Center
Lab Director STEPHEN BARNETT

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