04D2238878 CLIA NUMBER - CONWAY MEDCARE PHARMACY

Laboratory Demographics

  • CLIA Code: 04D2238878
  • Facility Name: CONWAY MEDCARE PHARMACY
  • Facility Address: 2521 COLLEGE AVENUE
    CONWAY, AR
    ZIP 72034
  • Facility Phone: 501 358-3498
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW T. FRAZIER
  • NPI Number: 1659619120
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2238878
LAB Type Pharmacy
Facility Name CONWAY MEDCARE PHARMACY
Street 2521 COLLEGE AVENUE
City CONWAY
State AR
ZIP 72034
Phone 501 358-3498
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Pharmacy
Lab Director MATTHEW T. FRAZIER

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