04D2291722 CLIA NUMBER - WHITEHALL PHARMACY LLC DBA DOCTORS ORDERS PHARMACY 5

Laboratory Demographics

  • CLIA Code: 04D2291722
  • Facility Name: WHITEHALL PHARMACY LLC DBA DOCTORS ORDERS PHARMACY 5
  • Facility Address: 3028 E WOODSON LATERAL RD
    HENSLEY, AR
    ZIP 72065
  • Facility Phone: 870 380-5810
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RANDY STRATTON
  • NPI Number: 1538840210
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2291722
LAB Type Pharmacy
Facility Name WHITEHALL PHARMACY LLC DBA DOCTORS ORDERS PHARMACY 5
Street 3028 E WOODSON LATERAL RD
City HENSLEY
State AR
ZIP 72065
Phone 870 380-5810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 10/15/2025
Facility Type Pharmacy
Lab Director RANDY STRATTON

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