04D0884411 CLIA NUMBER - ARKANSAS EPILEPSY PROGRAM, P A

Laboratory Demographics

  • CLIA Code: 04D0884411
  • Facility Name: ARKANSAS EPILEPSY PROGRAM, P A
  • Facility Address: # 2 LILE COURT, SUITE 100
    LITTLE ROCK, AR
    ZIP 72205
  • Facility Phone: 501 227-5061
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTOR BITON
  • NPI Number: 1477569218
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0884411
LAB Type Physician Office
Facility Name ARKANSAS EPILEPSY PROGRAM, P A
Street # 2 LILE COURT, SUITE 100
City LITTLE ROCK
State AR
ZIP 72205
Phone 501 227-5061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Physician Office
Lab Director VICTOR BITON

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