04D0964195 CLIA NUMBER - SPRINGHILL SURGERY CENTER

Laboratory Demographics

CLIA Number: 04D0964195

Facility Name: SPRINGHILL SURGERY CENTER

Facility Address:
3401 SPRINGHILL DRIVE, SUITE 155
NORTH LITTLE ROCK, AR
ZIP 72117
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Facility Phone Number: 501 945-5800

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1790742328

Taxonomy: 261QA1903X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	12/29/2022
CertificateExpirationDate	12/28/2024
FacilityType	Waiver

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