04D2320711 CLIA NUMBER - PURITY DOCTORS PLLC

Laboratory Demographics

  • CLIA Code: 04D2320711
  • Facility Name: PURITY DOCTORS PLLC
  • Facility Address: 6 INNWOOD CIRCLE
    LITTLE ROCK, AR
    ZIP 72211
  • Facility Phone: 501 232-2602
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SYED M. ALAM
  • NPI Number: 1356141899
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2320711
LAB Type Physician Office
Facility Name PURITY DOCTORS PLLC
Street 6 INNWOOD CIRCLE
City LITTLE ROCK
State AR
ZIP 72211
Phone 501 232-2602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director SYED M. ALAM

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