04D2153217 CLIA NUMBER - ANDERSON DISCOUNT PHARMACY

Laboratory Demographics

  • CLIA Code: 04D2153217
  • Facility Name: ANDERSON DISCOUNT PHARMACY
  • Facility Address: 700 LEXINGTON AVE
    FORT SMITH, AR
    ZIP 72901
  • Facility Phone: 479 782-2881
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KANDICE A. GIBBONS
  • NPI Number: 1407881360
  • Taxonomy: 183500000X - Pharmacist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2153217
LAB Type Pharmacy
Facility Name ANDERSON DISCOUNT PHARMACY
Street 700 LEXINGTON AVE
City FORT SMITH
State AR
ZIP 72901
Phone 479 782-2881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Pharmacy
Lab Director KANDICE A. GIBBONS

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