04D2303918 CLIA NUMBER - BAPTIST HEALTH BEHAVIORAL SERVICES CLINIC - LITTLE ROCK

Laboratory Demographics

  • CLIA Code: 04D2303918
  • Facility Name: BAPTIST HEALTH BEHAVIORAL SERVICES CLINIC - LITTLE ROCK
  • Facility Address: 11321 MABELVALE WEST RD, SUITE 304
    LITTLE ROCK, AR
    ZIP 72209
  • Facility Phone: 501 487-6010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. WHITNEY P. EASON
  • NPI Number: 1902131881
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 04D2303918
LAB Type Physician Office
Facility Name BAPTIST HEALTH BEHAVIORAL SERVICES CLINIC - LITTLE ROCK
Street 11321 MABELVALE WEST RD, SUITE 304
City LITTLE ROCK
State AR
ZIP 72209
Phone 501 487-6010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Physician Office
Lab Director MS. WHITNEY P. EASON

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