04D1032604 CLIA NUMBER - ENDOSCOPY CENTER OF ARKANSAS

Laboratory Demographics

CLIA Number: 04D1032604

Facility Name: ENDOSCOPY CENTER OF ARKANSAS

Facility Address:
1024 NORTH UNIVERSITY AVENUE
LITTLE ROCK, AR
ZIP 72207
Get Directions

Facility Phone Number: 501 537-0900

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1063470730

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	04D1032604
LAB Type	Ambulatory Surgery Center
Facility Name	ENDOSCOPY CENTER OF ARKANSAS
Street	1024 NORTH UNIVERSITY AVENUE
City	LITTLE ROCK
State	AR
ZIP	72207
Phone	501 537-0900
CertificateType	4
CertificateEffectiveDate	10/26/2022
CertificateExpirationDate	10/25/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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