04D2134433 CLIA NUMBER - ECONOMY DRUG

Laboratory Demographics

  • CLIA Code: 04D2134433
  • Facility Name: ECONOMY DRUG
  • Facility Address: 1006 W TRIMBLE AVE
    BERRYVILLE, AR
    ZIP 72616
  • Facility Phone: 479 790-7398
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON SPENCER MABRY
  • NPI Number: 1447364419
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2134433
LAB Type Pharmacy
Facility Name ECONOMY DRUG
Street 1006 W TRIMBLE AVE
City BERRYVILLE
State AR
ZIP 72616
Phone 479 790-7398
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2023
Certificate Expiration Date 8/1/2025
Facility Type Pharmacy
Lab Director JASON SPENCER MABRY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025