04D2190122 CLIA NUMBER - CONWAY CARDIOVASCULAR SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 04D2190122
  • Facility Name: CONWAY CARDIOVASCULAR SURGERY CENTER
  • Facility Address: 650 UNITED DRIVE SUITE 120
    CONWAY, AR
    ZIP 72032
  • Facility Phone: 501 504-8346
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Certificate of Compliance
  • Lab Director: JAMES T. THOMAS
  • NPI Number: 1487122669
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2190122
LAB Type Ambulatory Surgery Center
Facility Name CONWAY CARDIOVASCULAR SURGERY CENTER
Street 650 UNITED DRIVE SUITE 120
City CONWAY
State AR
ZIP 72032
Phone 501 504-8346
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 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Ambulatory Surgery Center
Lab Director JAMES T. THOMAS

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