04D2200225 CLIA NUMBER - SMITH DRUG

Laboratory Demographics

  • CLIA Code: 04D2200225
  • Facility Name: SMITH DRUG
  • Facility Address: 695 E THIRD STREET
    GENTRY, AR
    ZIP 72734
  • Facility Phone: 479 736-2241
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. EMILY J. SMITH
  • NPI Number: 1609084565
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2200225
LAB Type Pharmacy
Facility Name SMITH DRUG
Street 695 E THIRD STREET
City GENTRY
State AR
ZIP 72734
Phone 479 736-2241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Pharmacy
Lab Director MS. EMILY J. SMITH

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