04D2287942 CLIA NUMBER - DEBBIE'S FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 04D2287942
  • Facility Name: DEBBIE'S FAMILY PHARMACY
  • Facility Address: 5403 W PINNACLE POINTE DRIVE
    ROGERS, AR
    ZIP 72758
  • Facility Phone: 479 271-6300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW M. MIZE
  • NPI Number: 1487104725
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2287942
LAB Type Pharmacy
Facility Name DEBBIE'S FAMILY PHARMACY
Street 5403 W PINNACLE POINTE DRIVE
City ROGERS
State AR
ZIP 72758
Phone 479 271-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Pharmacy
Lab Director ANDREW M. MIZE

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