04D1043361 CLIA NUMBER - ARKANSAS GASTROENTEROLOGY ENDOSCOPY CENTER PLLC

Laboratory Demographics

  • CLIA Code: 04D1043361
  • Facility Name: ARKANSAS GASTROENTEROLOGY ENDOSCOPY CENTER PLLC
  • Facility Address: 151 MC GOWEN COURT
    HOT SPRINGS, AR
    ZIP 71913
  • Facility Phone: 501 623-6277
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN S. MATHEWS
  • NPI Number: 1114992047
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D1043361
LAB Type Ambulatory Surgery Center
Facility Name ARKANSAS GASTROENTEROLOGY ENDOSCOPY CENTER PLLC
Street 151 MC GOWEN COURT
City HOT SPRINGS
State AR
ZIP 71913
Phone 501 623-6277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Ambulatory Surgery Center
Lab Director JOHN S. MATHEWS

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