04D2138300 CLIA NUMBER - HOT SPRINGS PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 04D2138300
  • Facility Name: HOT SPRINGS PHARMACY, LLC
  • Facility Address: 1210 AIRPORT RD
    HOT SPRINGS, AR
    ZIP 71913
  • Facility Phone: 501 760-2444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADUSTON E. SPIVEY
  • NPI Number: 1124313267
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2138300
LAB Type Pharmacy
Facility Name HOT SPRINGS PHARMACY, LLC
Street 1210 AIRPORT RD
City HOT SPRINGS
State AR
ZIP 71913
Phone 501 760-2444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Pharmacy
Lab Director ADUSTON E. SPIVEY

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: 9/29/2025