04D2277017 CLIA NUMBER - AMERICAN HOME PHARMACY

Laboratory Demographics

  • CLIA Code: 04D2277017
  • Facility Name: AMERICAN HOME PHARMACY
  • Facility Address: 129 BONE ST
    CLINTON, AR
    ZIP 72031
  • Facility Phone: 501 745-4266
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSH R. LANGSTON
  • NPI Number: 1639797061
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2277017
LAB Type Pharmacy
Facility Name AMERICAN HOME PHARMACY
Street 129 BONE ST
City CLINTON
State AR
ZIP 72031
Phone 501 745-4266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Pharmacy
Lab Director JOSH R. LANGSTON

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