04D2184350 CLIA NUMBER - HYDE PHARMACY INC

Laboratory Demographics

  • CLIA Code: 04D2184350
  • Facility Name: HYDE PHARMACY INC
  • Facility Address: 101 W KINGSHIGHWAY
    PARAGOULD, AR
    ZIP 72450
  • Facility Phone: 870 239-4036
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENNETH KUENZEL
  • NPI Number: 1538597752
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2184350
LAB Type Pharmacy
Facility Name HYDE PHARMACY INC
Street 101 W KINGSHIGHWAY
City PARAGOULD
State AR
ZIP 72450
Phone 870 239-4036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Pharmacy
Lab Director KENNETH KUENZEL

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