04D2162654 CLIA NUMBER - HOUSECALL/HEALTH AND WELLNESS OF ARKANSAS

Laboratory Demographics

  • CLIA Code: 04D2162654
  • Facility Name: HOUSECALL/HEALTH AND WELLNESS OF ARKANSAS
  • Facility Address: 8114 CANTRELL RD SUITE 201
    LITTLE ROCK, AR
    ZIP 72227
  • Facility Phone: 501 779-8554
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LINDSEY J. GILLUM
  • NPI Number: 1487008157
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 04D2162654
LAB Type Practitioner Other
Facility Name HOUSECALL/HEALTH AND WELLNESS OF ARKANSAS
Street 8114 CANTRELL RD SUITE 201
City LITTLE ROCK
State AR
ZIP 72227
Phone 501 779-8554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Practitioner Other
Lab Director LINDSEY J. GILLUM

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