04D2289627 CLIA NUMBER - LITTLE ROCK SENIOR COMMUNITY LLC

Laboratory Demographics

  • CLIA Code: 04D2289627
  • Facility Name: LITTLE ROCK SENIOR COMMUNITY LLC
  • Facility Address: 16100 CHENAL VALLEY DR
    LITTLE ROCK, AR
    ZIP 72223
  • Facility Phone: 636 724-1766
  • Facility Type: Other - ASSISTED LIVING
  • Facility Type: Waiver
  • Lab Director: TIM MOORE
  • NPI Number: 1376159848
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 04D2289627
LAB Type Other - ASSISTED LIVING
Facility Name LITTLE ROCK SENIOR COMMUNITY LLC
Street 16100 CHENAL VALLEY DR
City LITTLE ROCK
State AR
ZIP 72223
Phone 636 724-1766
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Other - ASSISTED LIVING
Lab Director TIM MOORE

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