04D2148247 CLIA NUMBER - PREMIER GASTROENTEROLOGY ASSOCIATES, PLLC

Laboratory Demographics

  • CLIA Code: 04D2148247
  • Facility Name: PREMIER GASTROENTEROLOGY ASSOCIATES, PLLC
  • Facility Address: 10915 RODNEY PARHAM, SUITE B
    LITTLE ROCK, AR
    ZIP 72212
  • Facility Phone: 501 225-1400
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ROSALYN W. ENOS
  • NPI Number: 1073079596
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2148247
LAB Type Physician Office
Facility Name PREMIER GASTROENTEROLOGY ASSOCIATES, PLLC
Street 10915 RODNEY PARHAM, SUITE B
City LITTLE ROCK
State AR
ZIP 72212
Phone 501 225-1400
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 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Physician Office
Lab Director DR. ROSALYN W. ENOS

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