04D2211186 CLIA NUMBER - MARKET PLACE PHARMACY OF LITTLE ROCK PHARMACQ INC

Laboratory Demographics

  • CLIA Code: 04D2211186
  • Facility Name: MARKET PLACE PHARMACY OF LITTLE ROCK PHARMACQ INC
  • Facility Address: 11316 HURON LANE
    LITTLE ROCK, AR
    ZIP 72211
  • Facility Phone: 501 374-6565
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW G. HARP
  • NPI Number: 1316073059
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2211186
LAB Type Pharmacy
Facility Name MARKET PLACE PHARMACY OF LITTLE ROCK PHARMACQ INC
Street 11316 HURON LANE
City LITTLE ROCK
State AR
ZIP 72211
Phone 501 374-6565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Pharmacy
Lab Director ANDREW G. HARP

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