04D0999867 CLIA NUMBER - TAYLOR SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 04D0999867
  • Facility Name: TAYLOR SURGERY CENTER LLC
  • Facility Address: 3733 N BUSINESS DR #101
    FAYETTEVILLE, AR
    ZIP 72703
  • Facility Phone: 479 521-1500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT G. TAYLOR
  • NPI Number: 1093907339
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0999867
LAB Type Ambulatory Surgery Center
Facility Name TAYLOR SURGERY CENTER LLC
Street 3733 N BUSINESS DR #101
City FAYETTEVILLE
State AR
ZIP 72703
Phone 479 521-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Ambulatory Surgery Center
Lab Director ROBERT G. TAYLOR

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