04D2268745 CLIA NUMBER - CLARK'S FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 04D2268745
  • Facility Name: CLARK'S FAMILY PHARMACY
  • Facility Address: 621 COMMERCE STREET
    EARLE, AR
    ZIP 72331
  • Facility Phone: 870 792-7177
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROL R. CLARK
  • NPI Number: 1841321940
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2268745
LAB Type Pharmacy
Facility Name CLARK'S FAMILY PHARMACY
Street 621 COMMERCE STREET
City EARLE
State AR
ZIP 72331
Phone 870 792-7177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Pharmacy
Lab Director CAROL R. CLARK

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