04D2144465 CLIA NUMBER - EXPRESS RX ON CANTRELL

Laboratory Demographics

  • CLIA Code: 04D2144465
  • Facility Name: EXPRESS RX ON CANTRELL
  • Facility Address: 7612 CANTRELL RD
    LITTLE ROCK, AR
    ZIP 72227
  • Facility Phone: 501 843-1489
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC CRUMBAUGH
  • NPI Number: 1497186340
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2144465
LAB Type Pharmacy
Facility Name EXPRESS RX ON CANTRELL
Street 7612 CANTRELL RD
City LITTLE ROCK
State AR
ZIP 72227
Phone 501 843-1489
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Pharmacy
Lab Director ERIC CRUMBAUGH

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