04D1068892 CLIA NUMBER - BAPTIST HEALTH COMMUNITY OUTREACH

Laboratory Demographics

  • CLIA Code: 04D1068892
  • Facility Name: BAPTIST HEALTH COMMUNITY OUTREACH
  • Facility Address: 10117 KANIS RD
    LITTLE ROCK, AR
    ZIP 72205
  • Facility Phone: 501 202-6888
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: TERESA CONNER
  • NPI Number: 1780094201
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D1068892
LAB Type Health Fair
Facility Name BAPTIST HEALTH COMMUNITY OUTREACH
Street 10117 KANIS RD
City LITTLE ROCK
State AR
ZIP 72205
Phone 501 202-6888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Health Fair
Lab Director TERESA CONNER

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This page was last updated on: 6/4/2025