04D2157112 CLIA NUMBER - PILLBOX PHARMACY DAVIS DRUG STORE, INC

Laboratory Demographics

  • CLIA Code: 04D2157112
  • Facility Name: PILLBOX PHARMACY DAVIS DRUG STORE, INC
  • Facility Address: 1243 HIGHWAY 62/412
    HIGHLAND, AR
    ZIP 72542
  • Facility Phone: 870 856-3080
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREA D. TAYLOR
  • NPI Number: 1871694513
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2157112
LAB Type Pharmacy
Facility Name PILLBOX PHARMACY DAVIS DRUG STORE, INC
Street 1243 HIGHWAY 62/412
City HIGHLAND
State AR
ZIP 72542
Phone 870 856-3080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Pharmacy
Lab Director ANDREA D. TAYLOR

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