04D2190812 CLIA NUMBER - COLEMAN PHARMACY

Laboratory Demographics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2190812
LAB Type Pharmacy
Facility Name COLEMAN PHARMACY
Street 3610 GRAND AVE
City FORT SMITH
State AR
ZIP 72904
Phone 479 783-5171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Pharmacy
Lab Director CODY R. TURNER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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