04D2154045 CLIA NUMBER - HARPS PHARMACY #126

Laboratory Demographics

  • CLIA Code: 04D2154045
  • Facility Name: HARPS PHARMACY #126
  • Facility Address: 266 THREE DOG LANE
    WEST FORK, AR
    ZIP 72774
  • Facility Phone: 479 839-4365
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT L. ACORD
  • NPI Number: 1063750495
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2154045
LAB Type Pharmacy
Facility Name HARPS PHARMACY #126
Street 266 THREE DOG LANE
City WEST FORK
State AR
ZIP 72774
Phone 479 839-4365
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Pharmacy
Lab Director ROBERT L. ACORD

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