04D0922806 CLIA NUMBER - ARKANSAS HEART HOSPITAL

Laboratory Demographics

CLIA Number: 04D0922806

Facility Name: ARKANSAS HEART HOSPITAL

Facility Address:
1701 SOUTH SHACKLEFORD
LITTLE ROCK, AR
ZIP 72211
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Facility Phone Number: 501 219-2300

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1669506143

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name Field Value
CLIA Number 04D0922806
LAB Type Hospital
Facility Name ARKANSAS HEART HOSPITAL
Street 1701 SOUTH SHACKLEFORD
City LITTLE ROCK
State AR
ZIP 72211
Phone 501 219-2300
CertificateType 1
CertificateEffectiveDate 6/3/2022
CertificateExpirationDate 6/2/2024
FacilityType Accreditation

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This page was last updated on: 4/23/2024