04D0909367 CLIA NUMBER - ARKANSAS DIAGNOSTIC CENTER, PA

Laboratory Demographics

  • CLIA Code: 04D0909367
  • Facility Name: ARKANSAS DIAGNOSTIC CENTER, PA
  • Facility Address: 8907 KANIS ROAD STE 403
    LITTLE ROCK, AR
    ZIP 72205
  • Facility Phone: 501 227-7688
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTHA E. SMITH
  • NPI Number: 1831425982
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 04D0909367
LAB Type Physician Office
Facility Name ARKANSAS DIAGNOSTIC CENTER, PA
Street 8907 KANIS ROAD STE 403
City LITTLE ROCK
State AR
ZIP 72205
Phone 501 227-7688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Physician Office
Lab Director MARTHA E. SMITH

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