04D2184679 CLIA NUMBER - CONWAY AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 04D2184679
  • Facility Name: CONWAY AMBULATORY SURGERY CENTER
  • Facility Address: 2425 DAVE WARD DR
    CONWAY, AR
    ZIP 72034
  • Facility Phone: 501 499-6951
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ASHLEY LAWHON
  • NPI Number: 1467089599
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2184679
LAB Type Ambulatory Surgery Center
Facility Name CONWAY AMBULATORY SURGERY CENTER
Street 2425 DAVE WARD DR
City CONWAY
State AR
ZIP 72034
Phone 501 499-6951
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Ambulatory Surgery Center
Lab Director ASHLEY LAWHON

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