04D2218201 CLIA NUMBER - CYPRESS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 04D2218201
  • Facility Name: CYPRESS SURGERY CENTER
  • Facility Address: 2200 N RODNEY PARHAM SUITE 200
    LITTLE ROCK, AR
    ZIP 72212
  • Facility Phone: 501 219-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL L. SPANN
  • NPI Number: 1982999595
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2218201
LAB Type Physician Office
Facility Name CYPRESS SURGERY CENTER
Street 2200 N RODNEY PARHAM SUITE 200
City LITTLE ROCK
State AR
ZIP 72212
Phone 501 219-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Physician Office
Lab Director DR. MICHAEL L. SPANN

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