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PHILANDER SMITH UNIVERSITY
NPI 1225870306
Clinic/Center - Student Health in Little Rock, AR

Active since June 10, 2024CLIA 04D2200245 · Waiver
900 W DAISY L GATSON BATES DR, LITTLE ROCK, AR 72202(501) 370-5333 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philander Smith University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILANDER SMITH UNIVERSITY (NPI 1225870306) is a healthcare organization registered as a student health in Little Rock, Arkansas and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Deveta Crouther, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1225870306
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NamePHILANDER SMITH UNIVERSITY
Location Address900 W DAISY L GATSON BATES DRLittle Rock, AR 72202-3726
Mailing Address900 W Daisy L Gatson Bates DrLittle Rock, AR 72202-3726 · (501) 370-5333
Phone(501) 370-5333
Organization SubpartNo
Authorized OfficialDeveta CroutherClinical Director · (501) 370-5333
Enumeration DateJune 10, 2024
NPPES CertifiedJune 10, 2024
✔ NPI 1225870306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
900 W DAISY L GATSON BATES DR, Little Rock, AR 72202
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2200245

Philander Smith University · Little Rock, AR
Active · expires Nov 12, 2026
CLIA Number04D2200245
Laboratory TypeSchool/Student Health Service
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorDeveta Crouther
Laboratory Phone(501) 370-5333
Laboratory LocationPhilander Smith University900 W Daisy L Gatson Bates Drive, Little Rock, AR 72202
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philander Smith University's NPI number?

The NPI number for Philander Smith University is 1225870306. It was assigned to this organization in the NPPES registry on June 10, 2024.

Where is Philander Smith University located?

Philander Smith University is located at 900 W Daisy L Gatson Bates Dr, Little Rock, AR 72202. The listed phone number is (501) 370-5333.

What is Philander Smith University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Does Philander Smith University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2200245) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Philander Smith University was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.