04D2291933 CLIA NUMBER - LC AESTHETICS AND WELLNESS

Laboratory Demographics

  • CLIA Code: 04D2291933
  • Facility Name: LC AESTHETICS AND WELLNESS
  • Facility Address: 9228 MAUMELLE BLVD
    NORTH LITTLE ROCK, AR
    ZIP 72113
  • Facility Phone: 501 471-7337
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DONNA R. WRIGHT
  • NPI Number: 1578335139
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2291933
LAB Type Practitioner Other
Facility Name LC AESTHETICS AND WELLNESS
Street 9228 MAUMELLE BLVD
City NORTH LITTLE ROCK
State AR
ZIP 72113
Phone 501 471-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2023
Certificate Expiration Date 10/17/2025
Facility Type Practitioner Other
Lab Director DONNA R. WRIGHT

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