04D2162253 CLIA NUMBER - CHI ST VINCENT CANCER CENTER

Laboratory Demographics

  • CLIA Code: 04D2162253
  • Facility Name: CHI ST VINCENT CANCER CENTER
  • Facility Address: 10001 LILE DRIVE
    LITTLE ROCK, AR
    ZIP 72205
  • Facility Phone: 501 552-6100
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. PETER D. EMANUEL
  • NPI Number: 1003401340
  • Taxonomy: 276400000X - Rehabilitation, Substance Use Disorder Unit

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CLIA Record

Field Name Field Value
CLIA Number 04D2162253
LAB Type Physician Office
Facility Name CHI ST VINCENT CANCER CENTER
Street 10001 LILE DRIVE
City LITTLE ROCK
State AR
ZIP 72205
Phone 501 552-6100
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 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Physician Office
Lab Director DR. PETER D. EMANUEL

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