04D2183787 CLIA NUMBER - HEARTLAND PHARMACY CONWAY

Laboratory Demographics

  • CLIA Code: 04D2183787
  • Facility Name: HEARTLAND PHARMACY CONWAY
  • Facility Address: 2235 DAVE WARD DRIVE, SUITE 108
    CONWAY, AR
    ZIP 72034
  • Facility Phone: 501 450-0000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS C. COOPER
  • NPI Number: 1013422179
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2183787
LAB Type Pharmacy
Facility Name HEARTLAND PHARMACY CONWAY
Street 2235 DAVE WARD DRIVE, SUITE 108
City CONWAY
State AR
ZIP 72034
Phone 501 450-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Pharmacy
Lab Director CHRIS C. COOPER

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