04D2008884 CLIA NUMBER - THOMAS M HART, MD

Laboratory Demographics

  • CLIA Code: 04D2008884
  • Facility Name: THOMAS M HART, MD
  • Facility Address: 1508 MACON DR STE C-6
    LITTLE ROCK, AR
    ZIP 72211
  • Facility Phone: 501 224-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS M. HART
  • NPI Number: 1447342365
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 04D2008884
LAB Type Physician Office
Facility Name THOMAS M HART, MD
Street 1508 MACON DR STE C-6
City LITTLE ROCK
State AR
ZIP 72211
Phone 501 224-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Physician Office
Lab Director THOMAS M. HART

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