04D0946358 CLIA NUMBER - NORTH HILLS GASTROENTEROLOGY ENDOSCOPY CENTER FAYETTEVILLE ASC, LLC

Laboratory Demographics

  • CLIA Code: 04D0946358
  • Facility Name: NORTH HILLS GASTROENTEROLOGY ENDOSCOPY CENTER FAYETTEVILLE ASC, LLC
  • Facility Address: 3344 NORTH FUTRALL DRIVE, SUITE 3
    FAYETTEVILLE, AR
    ZIP 72703
  • Facility Phone: 479 582-7280
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LISA WOODWARD
  • NPI Number: 1922070911
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0946358
LAB Type Ambulatory Surgery Center
Facility Name NORTH HILLS GASTROENTEROLOGY ENDOSCOPY CENTER FAYETTEVILLE ASC, LLC
Street 3344 NORTH FUTRALL DRIVE, SUITE 3
City FAYETTEVILLE
State AR
ZIP 72703
Phone 479 582-7280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Ambulatory Surgery Center
Lab Director LISA WOODWARD

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