04D2325389 CLIA NUMBER - SAMMOH, PLLC

Laboratory Demographics

  • CLIA Code: 04D2325389
  • Facility Name: SAMMOH, PLLC
  • Facility Address: 4601 WOODLAWN DRIVE, STE B
    LITTLE ROCK, AR
    ZIP 72205
  • Facility Phone: 501 508-6888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHSIN ALTAF
  • NPI Number: 1225821390
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2325389
LAB Type Physician Office
Facility Name SAMMOH, PLLC
Street 4601 WOODLAWN DRIVE, STE B
City LITTLE ROCK
State AR
ZIP 72205
Phone 501 508-6888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Physician Office
Lab Director MOHSIN ALTAF

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