04D2308080 CLIA NUMBER - STOTTS FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 04D2308080
  • Facility Name: STOTTS FAMILY PHARMACY
  • Facility Address: 103 ARCH AVE
    SEARCY, AR
    ZIP 72143
  • Facility Phone: 501 268-2536
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DONALD P. HARVEY
  • NPI Number: 1629839436
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2308080
LAB Type Pharmacy
Facility Name STOTTS FAMILY PHARMACY
Street 103 ARCH AVE
City SEARCY
State AR
ZIP 72143
Phone 501 268-2536
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Pharmacy
Lab Director DONALD P. HARVEY

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