04D2184718 CLIA NUMBER - HOT SPRINGS AMBULATORY SURGERY CENTER

Laboratory Demographics

CLIA Number: 04D2184718

Facility Name: HOT SPRINGS AMBULATORY SURGERY CENTER

Facility Address:
108 SAWTOOTH OAK ST
HOT SPRINGS, AR
ZIP 71901
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Facility Phone Number: 501 322-7993

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1710441050

Taxonomy: 1223E0200X - Dentist
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

CLIA Record

Field Name	Field Value
CLIA Number	04D2184718
LAB Type	Ambulatory Surgery Center
Facility Name	HOT SPRINGS AMBULATORY SURGERY CENTER
Street	108 SAWTOOTH OAK ST
City	HOT SPRINGS
State	AR
ZIP	71901
Phone	501 322-7993
CertificateType	4
CertificateEffectiveDate	5/22/2022
CertificateExpirationDate	5/21/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024