04D2042678 CLIA NUMBER - PHYSICIANS LABORATORIES OF AMERICA LLC

Laboratory Demographics

  • CLIA Code: 04D2042678
  • Facility Name: PHYSICIANS LABORATORIES OF AMERICA LLC
  • Facility Address: 10 CORPORATE HILL DRIVE SUITE 180
    LITTLE ROCK, AR
    ZIP 72205
  • Facility Phone: 877 202-5227
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: JOSHUA BORNHORST
  • NPI Number: 1871756437
  • Taxonomy: 103TM1800X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 04D2042678
LAB Type Independent
Facility Name PHYSICIANS LABORATORIES OF AMERICA LLC
Street 10 CORPORATE HILL DRIVE SUITE 180
City LITTLE ROCK
State AR
ZIP 72205
Phone 877 202-5227
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Independent
Lab Director JOSHUA BORNHORST

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