04D1098523 CLIA NUMBER - BRYANT EYECARE CLINIC

Laboratory Demographics

  • CLIA Code: 04D1098523
  • Facility Name: BRYANT EYECARE CLINIC
  • Facility Address: 2900 HORIZON ST #15
    BRYANT, AR
    ZIP 72022
  • Facility Phone: 501 653-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TASKER N. RODMAN
  • NPI Number: 1407047897
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 04D1098523
LAB Type Physician Office
Facility Name BRYANT EYECARE CLINIC
Street 2900 HORIZON ST #15
City BRYANT
State AR
ZIP 72022
Phone 501 653-2020
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