04D2188792 CLIA NUMBER - DEAN'S PHARMACY

Laboratory Demographics

  • CLIA Code: 04D2188792
  • Facility Name: DEAN'S PHARMACY
  • Facility Address: 1640 S WHITEHEAD DRIVE
    DE WITT, AR
    ZIP 72042
  • Facility Phone: 870 946-2381
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. KAREN L. WATTS
  • NPI Number: 1053745794
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2188792
LAB Type Pharmacy
Facility Name DEAN'S PHARMACY
Street 1640 S WHITEHEAD DRIVE
City DE WITT
State AR
ZIP 72042
Phone 870 946-2381
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Pharmacy
Lab Director MS. KAREN L. WATTS

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