04D2243525 CLIA NUMBER - EXPRESS RX OF HOPE

Laboratory Demographics

  • CLIA Code: 04D2243525
  • Facility Name: EXPRESS RX OF HOPE
  • Facility Address: 717 SOUTH MAIN STREET
    HOPE, AR
    ZIP 71801
  • Facility Phone: 870 777-4643
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC CRUMBAUGH
  • NPI Number: 1184794265
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2243525
LAB Type Pharmacy
Facility Name EXPRESS RX OF HOPE
Street 717 SOUTH MAIN STREET
City HOPE
State AR
ZIP 71801
Phone 870 777-4643
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Pharmacy
Lab Director ERIC CRUMBAUGH

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