04D2105128 CLIA NUMBER - STEPHEN HUMBARD MD PA

Laboratory Demographics

  • CLIA Code: 04D2105128
  • Facility Name: STEPHEN HUMBARD MD PA
  • Facility Address: 28 RAHLING CIRCLE, STE 2
    LITTLE ROCK, AR
    ZIP 72223
  • Facility Phone: 501 448-2510
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEPHEN HUMBARD
  • NPI Number: 1093916256
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2105128
LAB Type Physician Office
Facility Name STEPHEN HUMBARD MD PA
Street 28 RAHLING CIRCLE, STE 2
City LITTLE ROCK
State AR
ZIP 72223
Phone 501 448-2510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Physician Office
Lab Director DR. STEPHEN HUMBARD

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