04D2314744 CLIA NUMBER - ARKANSAS LONGEVITY CENTER PLLC

Laboratory Demographics

  • CLIA Code: 04D2314744
  • Facility Name: ARKANSAS LONGEVITY CENTER PLLC
  • Facility Address: 2300 ANDOVER CT, STE 400
    LITTLE ROCK, AR
    ZIP 72227
  • Facility Phone: 501 904-5159
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EDALA ARPANA
  • NPI Number: 1457905234
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 04D2314744
LAB Type Physician Office
Facility Name ARKANSAS LONGEVITY CENTER PLLC
Street 2300 ANDOVER CT, STE 400
City LITTLE ROCK
State AR
ZIP 72227
Phone 501 904-5159
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2024
Certificate Expiration Date 11/25/2026
Facility Type Physician Office
Lab Director DR. EDALA ARPANA

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