04D2216386 CLIA NUMBER - PRESCRIPTIONS CORNER DRUG

Laboratory Demographics

  • CLIA Code: 04D2216386
  • Facility Name: PRESCRIPTIONS CORNER DRUG
  • Facility Address: 320 WEST KINGSHIGHWAY
    PARAGOULD, AR
    ZIP 72450
  • Facility Phone: 870 239-9535
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS N. DUTY
  • NPI Number: 1134309602
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2216386
LAB Type Pharmacy
Facility Name PRESCRIPTIONS CORNER DRUG
Street 320 WEST KINGSHIGHWAY
City PARAGOULD
State AR
ZIP 72450
Phone 870 239-9535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Pharmacy
Lab Director CHRIS N. DUTY

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