04D2274105 CLIA NUMBER - BATTLE STREET SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 04D2274105
  • Facility Name: BATTLE STREET SURGERY CENTER
  • Facility Address: 10700 N RODNEY PARHAM RD STE C-1B
    LITTLE ROCK, AR
    ZIP 72212
  • Facility Phone: 501 830-2020
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. BYRON N. WILKES
  • NPI Number: 1457077174
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2274105
LAB Type Ambulatory Surgery Center
Facility Name BATTLE STREET SURGERY CENTER
Street 10700 N RODNEY PARHAM RD STE C-1B
City LITTLE ROCK
State AR
ZIP 72212
Phone 501 830-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. BYRON N. WILKES

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