04D2154048 CLIA NUMBER - HARPS PHARMACY #179

Laboratory Demographics

  • CLIA Code: 04D2154048
  • Facility Name: HARPS PHARMACY #179
  • Facility Address: 310 WEST PRIDEMORE DRIVE
    LINCOLN, AR
    ZIP 72744
  • Facility Phone: 479 824-3256
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT L. ACORD
  • NPI Number: 1558897751
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2154048
LAB Type Pharmacy
Facility Name HARPS PHARMACY #179
Street 310 WEST PRIDEMORE DRIVE
City LINCOLN
State AR
ZIP 72744
Phone 479 824-3256
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

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