04D0952061 CLIA NUMBER - GAMMEL'S CLINIC PHARMACY

Laboratory Demographics

  • CLIA Code: 04D0952061
  • Facility Name: GAMMEL'S CLINIC PHARMACY
  • Facility Address: 909 UNITY ROAD PO BOX 677
    CROSSETT, AR
    ZIP 71635
  • Facility Phone: 870 364-5100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BILLY D. GAMMEL
  • NPI Number: 1083754816
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D0952061
LAB Type Pharmacy
Facility Name GAMMEL'S CLINIC PHARMACY
Street 909 UNITY ROAD PO BOX 677
City CROSSETT
State AR
ZIP 71635
Phone 870 364-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Pharmacy
Lab Director BILLY D. GAMMEL

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