04D2275317 CLIA NUMBER - COLLIER DRUG - FARMINGTON

Laboratory Demographics

  • CLIA Code: 04D2275317
  • Facility Name: COLLIER DRUG - FARMINGTON
  • Facility Address: 197 E MAIN ST
    FARMINGTON, AR
    ZIP 72730
  • Facility Phone: 479 267-4303
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY SCHULTE
  • NPI Number: 1427058593
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2275317
LAB Type Pharmacy
Facility Name COLLIER DRUG - FARMINGTON
Street 197 E MAIN ST
City FARMINGTON
State AR
ZIP 72730
Phone 479 267-4303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Pharmacy
Lab Director TIMOTHY SCHULTE

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