04D1062412 CLIA NUMBER - GUNNAR H GIBSON MD A MEMBER OF ARKANSAS FAMILY CARE NETWORK

Laboratory Demographics

  • CLIA Code: 04D1062412
  • Facility Name: GUNNAR H GIBSON MD A MEMBER OF ARKANSAS FAMILY CARE NETWORK
  • Facility Address: 4200 NORTH RODNEY PARHAM SUITE 202
    LITTLE ROCK, AR
    ZIP 72212
  • Facility Phone: 501 227-4323
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JACEY T. GUTHRIE
  • NPI Number: 1427043595
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D1062412
LAB Type Physician Office
Facility Name GUNNAR H GIBSON MD A MEMBER OF ARKANSAS FAMILY CARE NETWORK
Street 4200 NORTH RODNEY PARHAM SUITE 202
City LITTLE ROCK
State AR
ZIP 72212
Phone 501 227-4323
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Physician Office
Lab Director JACEY T. GUTHRIE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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