04D2266627 CLIA NUMBER - HAWKINS RX LLC

Laboratory Demographics

  • CLIA Code: 04D2266627
  • Facility Name: HAWKINS RX LLC
  • Facility Address: 902 CENTRAL BLVD
    BULL SHOALS, AR
    ZIP 72619
  • Facility Phone: 870 445-7188
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAYNE HAWKINS
  • NPI Number: 1982194106
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2266627
LAB Type Pharmacy
Facility Name HAWKINS RX LLC
Street 902 CENTRAL BLVD
City BULL SHOALS
State AR
ZIP 72619
Phone 870 445-7188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Pharmacy
Lab Director LAYNE HAWKINS

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