04D2185850 CLIA NUMBER - MCKENNEY PHARMACY

Laboratory Demographics

  • CLIA Code: 04D2185850
  • Facility Name: MCKENNEY PHARMACY
  • Facility Address: 264 N 3RD AVE
    PIGGOTT, AR
    ZIP 72454
  • Facility Phone: 870 324-5310
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER R. MCKENNEY
  • NPI Number: 1912540329
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2185850
LAB Type Pharmacy
Facility Name MCKENNEY PHARMACY
Street 264 N 3RD AVE
City PIGGOTT
State AR
ZIP 72454
Phone 870 324-5310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Pharmacy
Lab Director JENNIFER R. MCKENNEY

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