04D2132908 CLIA NUMBER - ALLAN MCKENZIE MD

Laboratory Demographics

  • CLIA Code: 04D2132908
  • Facility Name: ALLAN MCKENZIE MD
  • Facility Address: 1100 N UNIVERSITY, SUITE 102
    LITTLE ROCK, AR
    ZIP 72207
  • Facility Phone: 501 663-2363
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALLAN D. MCKENZIE
  • NPI Number: 1003831462
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2132908
LAB Type Physician Office
Facility Name ALLAN MCKENZIE MD
Street 1100 N UNIVERSITY, SUITE 102
City LITTLE ROCK
State AR
ZIP 72207
Phone 501 663-2363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Physician Office
Lab Director DR. ALLAN D. MCKENZIE

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