04D2293081 CLIA NUMBER - INFECTIOUS DISEASE BRANCH ARKANSAS DEPARTMENT OF HEALTH

Laboratory Demographics

  • CLIA Code: 04D2293081
  • Facility Name: INFECTIOUS DISEASE BRANCH ARKANSAS DEPARTMENT OF HEALTH
  • Facility Address: 4815 WEST MARKHAM ST, H33
    LITTLE ROCK, AR
    ZIP 72205
  • Facility Phone: 501 661-2943
  • Facility Type: Other - COMMUNITY SETTINGS
  • Facility Type: Waiver
  • Lab Director: MS. TIFFANY VANCE
  • NPI Number: 1447280995
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2293081
LAB Type Other - COMMUNITY SETTINGS
Facility Name INFECTIOUS DISEASE BRANCH ARKANSAS DEPARTMENT OF HEALTH
Street 4815 WEST MARKHAM ST, H33
City LITTLE ROCK
State AR
ZIP 72205
Phone 501 661-2943
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Other - COMMUNITY SETTINGS
Lab Director MS. TIFFANY VANCE

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