04D1041984 CLIA NUMBER - ADVANCED CATARACT SURGERY LASER CENTER

Laboratory Demographics

  • CLIA Code: 04D1041984
  • Facility Name: ADVANCED CATARACT SURGERY LASER CENTER
  • Facility Address: 3002 ROGERS AVENUE
    FORT SMITH, AR
    ZIP 72901
  • Facility Phone: 479 782-8892
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LYNNE ADREMAGNI
  • NPI Number: 1902860679
  • Taxonomy: 261QS0132X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D1041984
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED CATARACT SURGERY LASER CENTER
Street 3002 ROGERS AVENUE
City FORT SMITH
State AR
ZIP 72901
Phone 479 782-8892
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Ambulatory Surgery Center
Lab Director LYNNE ADREMAGNI

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