04D0936602 CLIA NUMBER - CONWAY DIALYSIS

Laboratory Demographics

  • CLIA Code: 04D0936602
  • Facility Name: CONWAY DIALYSIS
  • Facility Address: 2445 CHRISTINA LANE
    CONWAY, AR
    ZIP 72034
  • Facility Phone: 501 327-1001
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. BIERLE
  • NPI Number: 1194716068
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0936602
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CONWAY DIALYSIS
Street 2445 CHRISTINA LANE
City CONWAY
State AR
ZIP 72034
Phone 501 327-1001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHAEL L. BIERLE

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