04D2190835 CLIA NUMBER - HORSESHOE HEALTH & MEDICINE

Laboratory Demographics

  • CLIA Code: 04D2190835
  • Facility Name: HORSESHOE HEALTH & MEDICINE
  • Facility Address: 600 MARKET ST
    HORSESHOE BEND, AR
    ZIP 72512
  • Facility Phone: 870 670-4580
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANK H. FOWLER
  • NPI Number: 1376646752
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2190835
LAB Type Pharmacy
Facility Name HORSESHOE HEALTH & MEDICINE
Street 600 MARKET ST
City HORSESHOE BEND
State AR
ZIP 72512
Phone 870 670-4580
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 FRANK H. FOWLER

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