OrganizationLaboratory Corporation Of AmericaClinical Medical LaboratoryLaboratoriesPractice Address10310 West Markham, Ste 195, Little Rock, AR 72205-1581(501) 916-4025PECOS EnrollmentBased on the most recent information from CMS, provider Laboratory Corporation Of America does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1952183121Provider TypeOrganizationFull NameLaboratory Corporation Of AmericaSubpartNoEnumeration Date10/20/2023Last Updated2/12/2024Contact InformationPractice LocationPractice Address10310 West Markham, Ste 195, Little Rock, AR 72205-1581Phone(501) 916-4025FaxUnlisted FaxMailing LocationMailing AddressPO Box 2240, Burlington, NC 27216-2240PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameWilliams, Kimberly T (Vice President)Phone(336) 222-7566Provider TaxonomiesCodeDescriptionLicenseCode291U00000XPrimaryDescriptionClinical Medical LaboratoryLaboratoriesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID04D2289400DescriptionOtherIssuerCLIA