04D2261822 CLIA NUMBER - PARKER ROAD SPECIALTY PHARMACY NEA PHARMACEUTICALS

Laboratory Demographics

  • CLIA Code: 04D2261822
  • Facility Name: PARKER ROAD SPECIALTY PHARMACY NEA PHARMACEUTICALS
  • Facility Address: 1109 W PARKER ROAD
    JONESBORO, AR
    ZIP 72404
  • Facility Phone: 870 935-6400
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. SOO
  • NPI Number: 1619991767
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2261822
LAB Type Pharmacy
Facility Name PARKER ROAD SPECIALTY PHARMACY NEA PHARMACEUTICALS
Street 1109 W PARKER ROAD
City JONESBORO
State AR
ZIP 72404
Phone 870 935-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Pharmacy
Lab Director MICHAEL A. SOO

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