04D2238084 CLIA NUMBER - SOO'S DRUG, INC

Laboratory Demographics

  • CLIA Code: 04D2238084
  • Facility Name: SOO'S DRUG, INC
  • Facility Address: 2822 E NETTLETON AVE
    JONESBORO, AR
    ZIP 72401
  • Facility Phone: 870 932-6930
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TYLER A. SOO
  • NPI Number: 1497755946
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2238084
LAB Type Pharmacy
Facility Name SOO'S DRUG, INC
Street 2822 E NETTLETON AVE
City JONESBORO
State AR
ZIP 72401
Phone 870 932-6930
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Pharmacy
Lab Director TYLER A. SOO

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