04D2232203 CLIA NUMBER - HUDSON PHARMACY

Laboratory Demographics

  • CLIA Code: 04D2232203
  • Facility Name: HUDSON PHARMACY
  • Facility Address: 1609 MAIN STREET
    VAN BUREN, AR
    ZIP 72956
  • Facility Phone: 479 474-1193
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. NATALIE SMITH
  • NPI Number: 1689662819
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2232203
LAB Type Physician Office
Facility Name HUDSON PHARMACY
Street 1609 MAIN STREET
City VAN BUREN
State AR
ZIP 72956
Phone 479 474-1193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Physician Office
Lab Director MS. NATALIE SMITH

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