04D2144056 CLIA NUMBER - PATHNET LLC

Laboratory Demographics

  • CLIA Code: 04D2144056
  • Facility Name: PATHNET LLC
  • Facility Address: 5100 TALLEY ROAD, STE 300
    LITTLE ROCK, AR
    ZIP 72204
  • Facility Phone: 501 500-6663
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. NICOLE A. MASSOLL
  • NPI Number: 1407336753
  • Taxonomy: 207ZC0006X - Pathology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2144056
LAB Type Independent
Facility Name PATHNET LLC
Street 5100 TALLEY ROAD, STE 300
City LITTLE ROCK
State AR
ZIP 72204
Phone 501 500-6663
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 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Independent
Lab Director DR. NICOLE A. MASSOLL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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