04D1098520 CLIA NUMBER - EUREKA SPRINGS EYE CARE CLINIC

Laboratory Demographics

  • CLIA Code: 04D1098520
  • Facility Name: EUREKA SPRINGS EYE CARE CLINIC
  • Facility Address: 9 SHACKELFORD PLAZA, SUITE 1
    LITTLE ROCK, AR
    ZIP 72211
  • Facility Phone: 479 253-7136
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TASKER N. RODMAN
  • NPI Number: 1528214863
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 04D1098520
LAB Type Physician Office
Facility Name EUREKA SPRINGS EYE CARE CLINIC
Street 9 SHACKELFORD PLAZA, SUITE 1
City LITTLE ROCK
State AR
ZIP 72211
Phone 479 253-7136
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director DR. TASKER N. RODMAN

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