04D0869707 CLIA NUMBER - YOUTH HOME INC

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CLIA Record

Field Name Field Value
CLIA Number 04D0869707
LAB Type Other
Facility Name YOUTH HOME INC
Street 20400 COLONEL GLENN ROAD
City LITTLE ROCK
State AR
ZIP 72210
Phone 501 821-5500
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 Other
Lab Director DR. ANGELA E. SHY

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