04D2135841 CLIA NUMBER - SARK-OPL

Laboratory Demographics

  • CLIA Code: 04D2135841
  • Facility Name: SARK-OPL
  • Facility Address: 7200 SOUTH HAZEL STREET
    PINE BLUFF, AR
    ZIP 71603
  • Facility Phone: 870 534-2900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SADEEM MAHMOOD
  • NPI Number: 1558893776
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2135841
LAB Type Ambulatory Surgery Center
Facility Name SARK-OPL
Street 7200 SOUTH HAZEL STREET
City PINE BLUFF
State AR
ZIP 71603
Phone 870 534-2900
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. SADEEM MAHMOOD

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