04D0964195 CLIA NUMBER - SPRINGHILL SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 04D0964195
  • Facility Name: SPRINGHILL SURGERY CENTER
  • Facility Address: 3401 SPRINGHILL DRIVE, SUITE 155
    NORTH LITTLE ROCK, AR
    ZIP 72117
  • Facility Phone: 501 945-5800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JENNY GENTRY
  • NPI Number: 1790742328
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0964195
LAB Type Ambulatory Surgery Center
Facility Name SPRINGHILL SURGERY CENTER
Street 3401 SPRINGHILL DRIVE, SUITE 155
City NORTH LITTLE ROCK
State AR
ZIP 72117
Phone 501 945-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Ambulatory Surgery Center
Lab Director JENNY GENTRY

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