04D2076041 CLIA NUMBER - BAPTIST HEALTH CENTER FOR CLINICAL RESEARCH

Laboratory Demographics

  • CLIA Code: 04D2076041
  • Facility Name: BAPTIST HEALTH CENTER FOR CLINICAL RESEARCH
  • Facility Address: 9601 BAPTIST HEALTH DRIVE, STE 310
    LITTLE ROCK, AR
    ZIP 72205
  • Facility Phone: 501 202-6478
  • Facility Type: Other - CLINICAL RESEARCH FACILIT
  • Facility Type: Waiver
  • Lab Director: RICHARD G. PELLEGRINO
  • NPI Number: 1528478955
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2076041
LAB Type Other - CLINICAL RESEARCH FACILIT
Facility Name BAPTIST HEALTH CENTER FOR CLINICAL RESEARCH
Street 9601 BAPTIST HEALTH DRIVE, STE 310
City LITTLE ROCK
State AR
ZIP 72205
Phone 501 202-6478
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Other - CLINICAL RESEARCH FACILIT
Lab Director RICHARD G. PELLEGRINO

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