04D2009494 CLIA NUMBER - CENTRAL ARKANSAS SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 04D2009494
  • Facility Name: CENTRAL ARKANSAS SURGICAL CENTER
  • Facility Address: 151 EAST ASPEN LANE
    RUSSELLVILLE, AR
    ZIP 72802
  • Facility Phone: 479 967-1117
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LAURA SHINGLEUR
  • NPI Number: 1487047221
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 04D2009494
LAB Type Ambulatory Surgery Center
Facility Name CENTRAL ARKANSAS SURGICAL CENTER
Street 151 EAST ASPEN LANE
City RUSSELLVILLE
State AR
ZIP 72802
Phone 479 967-1117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Ambulatory Surgery Center
Lab Director LAURA SHINGLEUR

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