04D0968414 CLIA NUMBER - HEARNE FAMILY PRACTICE CLINIC

Laboratory Demographics

  • CLIA Code: 04D0968414
  • Facility Name: HEARNE FAMILY PRACTICE CLINIC
  • Facility Address: 1001 WRIGHT AVENUE
    LITTLE ROCK, AR
    ZIP 72206
  • Facility Phone: 501 224-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ARCHIE B. HEARNE
  • NPI Number: 1972535441
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 04D0968414
LAB Type Physician Office
Facility Name HEARNE FAMILY PRACTICE CLINIC
Street 1001 WRIGHT AVENUE
City LITTLE ROCK
State AR
ZIP 72206
Phone 501 224-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Physician Office
Lab Director DR. ARCHIE B. HEARNE

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