04D2152176 CLIA NUMBER - CITY DRUG CO INC

Laboratory Demographics

  • CLIA Code: 04D2152176
  • Facility Name: CITY DRUG CO INC
  • Facility Address: 1512 LINWOOD DRIVE
    PARAGOULD, AR
    ZIP 72450
  • Facility Phone: 870 236-8501
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. MALLORY A. WILLIAMS
  • NPI Number: 1811983406
  • Taxonomy: 183500000X - Pharmacist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2152176
LAB Type Pharmacy
Facility Name CITY DRUG CO INC
Street 1512 LINWOOD DRIVE
City PARAGOULD
State AR
ZIP 72450
Phone 870 236-8501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Pharmacy
Lab Director MS. MALLORY A. WILLIAMS

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