04D2183206 CLIA NUMBER - ECONO-MED PHARMACY

Laboratory Demographics

  • CLIA Code: 04D2183206
  • Facility Name: ECONO-MED PHARMACY
  • Facility Address: 1 CHOCTAW CENTER
    CHEROKEE VILLAGE, AR
    ZIP 72529
  • Facility Phone: 870 856-4696
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GRETA A. ISHMAEL
  • NPI Number: 1598160558
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2183206
LAB Type Pharmacy
Facility Name ECONO-MED PHARMACY
Street 1 CHOCTAW CENTER
City CHEROKEE VILLAGE
State AR
ZIP 72529
Phone 870 856-4696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Pharmacy
Lab Director GRETA A. ISHMAEL

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