04D2249271 CLIA NUMBER - CORNERSTONE MAIN STREET

Laboratory Demographics

  • CLIA Code: 04D2249271
  • Facility Name: CORNERSTONE MAIN STREET
  • Facility Address: 1701 MAIN STREET
    LITTLE ROCK, AR
    ZIP 72206
  • Facility Phone: 501 246-5451
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HOLLY PRICE
  • NPI Number: 1790139111
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2249271
LAB Type Pharmacy
Facility Name CORNERSTONE MAIN STREET
Street 1701 MAIN STREET
City LITTLE ROCK
State AR
ZIP 72206
Phone 501 246-5451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Pharmacy
Lab Director HOLLY PRICE

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