04D2056963 CLIA NUMBER - CARE IV HOME HEALTH CARE IV INC

Laboratory Demographics

  • CLIA Code: 04D2056963
  • Facility Name: CARE IV HOME HEALTH CARE IV INC
  • Facility Address: 1023 RUSHING CIRCLE
    LITTLE ROCK, AR
    ZIP 72204
  • Facility Phone: 501 686-2400
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MR. STEVEN HAMMOND
  • NPI Number: 1336159318
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 04D2056963
LAB Type Home Health Agency
Facility Name CARE IV HOME HEALTH CARE IV INC
Street 1023 RUSHING CIRCLE
City LITTLE ROCK
State AR
ZIP 72204
Phone 501 686-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Home Health Agency
Lab Director MR. STEVEN HAMMOND

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