04D0947575 CLIA NUMBER - LITTLE ROCK MIDTOWN DIALYSIS

Laboratory Demographics

  • CLIA Code: 04D0947575
  • Facility Name: LITTLE ROCK MIDTOWN DIALYSIS
  • Facility Address: 2 LILE COURT SUITE 102 A
    LITTLE ROCK, AR
    ZIP 72205
  • Facility Phone: 501 221-3123
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. BIERLE M D
  • NPI Number: 1265850275
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0947575
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LITTLE ROCK MIDTOWN DIALYSIS
Street 2 LILE COURT SUITE 102 A
City LITTLE ROCK
State AR
ZIP 72205
Phone 501 221-3123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHAEL L. BIERLE M D

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