04D0999477 CLIA NUMBER - LITTLE ROCK COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 04D0999477
  • Facility Name: LITTLE ROCK COMMUNITY HEALTH CENTER
  • Facility Address: 1100 NORTH UNIVERSITY, SUITE 125
    LITTLE ROCK, AR
    ZIP 72207
  • Facility Phone: 501 663-0055
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. MARCUS CROUTHER
  • NPI Number: 1194922849
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0999477
LAB Type Community Clinic
Facility Name LITTLE ROCK COMMUNITY HEALTH CENTER
Street 1100 NORTH UNIVERSITY, SUITE 125
City LITTLE ROCK
State AR
ZIP 72207
Phone 501 663-0055
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Community Clinic
Lab Director DR. MARCUS CROUTHER

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