04D2192866 CLIA NUMBER - MEDICINE SHOPPE, THE DAVID'S PHARMACY

Laboratory Demographics

  • CLIA Code: 04D2192866
  • Facility Name: MEDICINE SHOPPE, THE DAVID'S PHARMACY
  • Facility Address: 3836 JOHN F KENNEDY
    NORTH LITTLE ROCK, AR
    ZIP 72116
  • Facility Phone: 501 758-1010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISSY Y. BARR
  • NPI Number: 1790890713
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2192866
LAB Type Physician Office
Facility Name MEDICINE SHOPPE, THE DAVID'S PHARMACY
Street 3836 JOHN F KENNEDY
City NORTH LITTLE ROCK
State AR
ZIP 72116
Phone 501 758-1010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Physician Office
Lab Director CHRISSY Y. BARR

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