04D2246677 CLIA NUMBER - REDFIELD FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 04D2246677
  • Facility Name: REDFIELD FAMILY PHARMACY
  • Facility Address: 1017 SHERIDAN ROAD
    REDFIELD, AR
    ZIP 72132
  • Facility Phone: 501 397-5400
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN R. WILSON
  • NPI Number: 1093863037
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2246677
LAB Type Pharmacy
Facility Name REDFIELD FAMILY PHARMACY
Street 1017 SHERIDAN ROAD
City REDFIELD
State AR
ZIP 72132
Phone 501 397-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Pharmacy
Lab Director MEGAN R. WILSON

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