04D1102499 CLIA NUMBER - JAMES THRASHER MD PA

Laboratory Demographics

  • CLIA Code: 04D1102499
  • Facility Name: JAMES THRASHER MD PA
  • Facility Address: 11400 HURON LANE
    LITTLE ROCK, AR
    ZIP 72211
  • Facility Phone: 501 666-3666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES R. THRASHER
  • NPI Number: 1841250875
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D1102499
LAB Type Physician Office
Facility Name JAMES THRASHER MD PA
Street 11400 HURON LANE
City LITTLE ROCK
State AR
ZIP 72211
Phone 501 666-3666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Physician Office
Lab Director JAMES R. THRASHER

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