04D0890620 CLIA NUMBER - CITY PHARMACY

Laboratory Demographics

CLIA Number: 04D0890620

Facility Name: CITY PHARMACY

Facility Address:
1801 SOUTH BROADWAY
LITTLE ROCK, AR
ZIP 72206
Get Directions

Facility Phone Number: 501 374-6565

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1841291150

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	04D0890620
LAB Type	Pharmacy
Facility Name	CITY PHARMACY
Street	1801 SOUTH BROADWAY
City	LITTLE ROCK
State	AR
ZIP	72206
Phone	501 374-6565
CertificateType	4
CertificateEffectiveDate	8/23/2022
CertificateExpirationDate	8/22/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024