04D2192519 CLIA NUMBER - FUTRELL PHARMACY, INC

Laboratory Demographics

  • CLIA Code: 04D2192519
  • Facility Name: FUTRELL PHARMACY, INC
  • Facility Address: 115 E BROADWAY
    POCAHONTAS, AR
    ZIP 72455
  • Facility Phone: 870 892-5615
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY MARK FUTRELL
  • NPI Number: 1780681932
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2192519
LAB Type Pharmacy
Facility Name FUTRELL PHARMACY, INC
Street 115 E BROADWAY
City POCAHONTAS
State AR
ZIP 72455
Phone 870 892-5615
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Pharmacy
Lab Director JEFFREY MARK FUTRELL

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