04D2045469 CLIA NUMBER - APPLIED RESEARCH CENTER OF ARKANSAS

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Laboratory Demographics

CLIA Number: 04D2045469

Facility Name: APPLIED RESEARCH CENTER OF ARKANSAS

Facility Address:
11524 NORTH RODNEY PARHAM, SUITE 8
LITTLE ROCK, AR
ZIP 72212
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Facility Phone Number: 501 954-7822

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1972847218

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	04D2045469
LAB Type	Physician Office
Facility Name	APPLIED RESEARCH CENTER OF ARKANSAS
Street	11524 NORTH RODNEY PARHAM, SUITE 8
City	LITTLE ROCK
State	AR
ZIP	72212
Phone	501 954-7822
CertificateType	4
CertificateEffectiveDate	12/18/2023
CertificateExpirationDate	12/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024