04D2153729 CLIA NUMBER - HARPS PHARMACY #103

Laboratory Demographics

  • CLIA Code: 04D2153729
  • Facility Name: HARPS PHARMACY #103
  • Facility Address: 703 WEST MAIN STREET
    GREEN FOREST, AR
    ZIP 72638
  • Facility Phone: 870 438-5614
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT L. ACORD
  • NPI Number: 1104117878
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2153729
LAB Type Pharmacy
Facility Name HARPS PHARMACY #103
Street 703 WEST MAIN STREET
City GREEN FOREST
State AR
ZIP 72638
Phone 870 438-5614
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Pharmacy
Lab Director ROBERT L. ACORD

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