04D2094452 CLIA NUMBER - INTERVENTIONAL SURGERY INSTITUTE

Laboratory Demographics

  • CLIA Code: 04D2094452
  • Facility Name: INTERVENTIONAL SURGERY INSTITUTE
  • Facility Address: #9 FREEWAY DRIVE
    LITTLE ROCK, AR
    ZIP 72204
  • Facility Phone: 501 766-1065
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MS. ELIZABETH WADDELL
  • NPI Number: 1043625221
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2094452
LAB Type Ambulatory Surgery Center
Facility Name INTERVENTIONAL SURGERY INSTITUTE
Street #9 FREEWAY DRIVE
City LITTLE ROCK
State AR
ZIP 72204
Phone 501 766-1065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Ambulatory Surgery Center
Lab Director MS. ELIZABETH WADDELL

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This page was last updated on: 3/20/2025