04D1073724 CLIA NUMBER - FREEWAY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 04D1073724
  • Facility Name: FREEWAY SURGERY CENTER
  • Facility Address: 5800 WEST 10TH STREET, SUITE 206
    LITTLE ROCK, AR
    ZIP 72204
  • Facility Phone: 501 661-0077
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ALLIE MILLS
  • NPI Number: 1588876817
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D1073724
LAB Type Ambulatory Surgery Center
Facility Name FREEWAY SURGERY CENTER
Street 5800 WEST 10TH STREET, SUITE 206
City LITTLE ROCK
State AR
ZIP 72204
Phone 501 661-0077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Ambulatory Surgery Center
Lab Director ALLIE MILLS

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