04D2308656 CLIA NUMBER - WINNINGHAM PHARMACY RXEAGLE LLC

Laboratory Demographics

  • CLIA Code: 04D2308656
  • Facility Name: WINNINGHAM PHARMACY RXEAGLE LLC
  • Facility Address: 232 WEST MAIN STREET
    BRADFORD, AR
    ZIP 72020
  • Facility Phone: 501 344-2763
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN D. PIKER
  • NPI Number: 1619046711
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2308656
LAB Type Pharmacy
Facility Name WINNINGHAM PHARMACY RXEAGLE LLC
Street 232 WEST MAIN STREET
City BRADFORD
State AR
ZIP 72020
Phone 501 344-2763
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Pharmacy
Lab Director JUSTIN D. PIKER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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