04D2066740 CLIA NUMBER - OASIS RENEWAL CENTER

Laboratory Demographics

  • CLIA Code: 04D2066740
  • Facility Name: OASIS RENEWAL CENTER
  • Facility Address: 14913 COOPER ORBIT ROAD
    LITTLE ROCK, AR
    ZIP 72223
  • Facility Phone: 501 372-4611
  • Facility Type: Other - SUBSTANCE ABUSE
  • Facility Type: Waiver
  • Lab Director: MR. DAVID BRADSHAW
  • NPI Number: 1750656468
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D2066740
LAB Type Other - SUBSTANCE ABUSE
Facility Name OASIS RENEWAL CENTER
Street 14913 COOPER ORBIT ROAD
City LITTLE ROCK
State AR
ZIP 72223
Phone 501 372-4611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2023
Certificate Expiration Date 10/2/2025
Facility Type Other - SUBSTANCE ABUSE
Lab Director MR. DAVID BRADSHAW

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This page was last updated on: 6/4/2025