04D2126478 CLIA NUMBER - NORTH LITTLE ROCK COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 04D2126478
  • Facility Name: NORTH LITTLE ROCK COMMUNITY HEALTH CENTER
  • Facility Address: 2525 WILLOW SUITE 1
    NORTH LITTLE ROCK, AR
    ZIP 72114
  • Facility Phone: 501 812-0225
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. MARCUS CROUTHER
  • NPI Number: 1255577532
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 04D2126478
LAB Type Community Clinic
Facility Name NORTH LITTLE ROCK COMMUNITY HEALTH CENTER
Street 2525 WILLOW SUITE 1
City NORTH LITTLE ROCK
State AR
ZIP 72114
Phone 501 812-0225
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Community Clinic
Lab Director DR. MARCUS CROUTHER

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