04D2164983 CLIA NUMBER - WOODSPRINGS PHARMACY & HOME MEDICAL

Laboratory Demographics

  • CLIA Code: 04D2164983
  • Facility Name: WOODSPRINGS PHARMACY & HOME MEDICAL
  • Facility Address: 1807 WOODSPRINGS ROAD
    JONESBORO, AR
    ZIP 72401
  • Facility Phone: 870 972-8310
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RIAN R. SNELL
  • NPI Number: 1184115040
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2164983
LAB Type Pharmacy
Facility Name WOODSPRINGS PHARMACY & HOME MEDICAL
Street 1807 WOODSPRINGS ROAD
City JONESBORO
State AR
ZIP 72401
Phone 870 972-8310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Pharmacy
Lab Director RIAN R. SNELL

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