04D2279873 CLIA NUMBER - COLLIER DRUG - ELKINS

Laboratory Demographics

  • CLIA Code: 04D2279873
  • Facility Name: COLLIER DRUG - ELKINS
  • Facility Address: 2491 N CENTER ST
    FAYETTEVILLE, AR
    ZIP 72701
  • Facility Phone: 479 442-6060
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LORI PATTON
  • NPI Number: 1588091201
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2279873
LAB Type Pharmacy
Facility Name COLLIER DRUG - ELKINS
Street 2491 N CENTER ST
City FAYETTEVILLE
State AR
ZIP 72701
Phone 479 442-6060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Pharmacy
Lab Director LORI PATTON

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