04D2227033 CLIA NUMBER - COLLIER DRUG STORE HARBER

Laboratory Demographics

  • CLIA Code: 04D2227033
  • Facility Name: COLLIER DRUG STORE HARBER
  • Facility Address: 171 N MAESTRI RD, STE 3
    SPRINGDALE, AR
    ZIP 72762
  • Facility Phone: 479 361-5727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAYLEY NOBLIN
  • NPI Number: 1073921177
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2227033
LAB Type Pharmacy
Facility Name COLLIER DRUG STORE HARBER
Street 171 N MAESTRI RD, STE 3
City SPRINGDALE
State AR
ZIP 72762
Phone 479 361-5727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Pharmacy
Lab Director CAYLEY NOBLIN

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