04D2310191 CLIA NUMBER - LANDMARK PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 04D2310191
  • Facility Name: LANDMARK PHARMACY, LLC
  • Facility Address: 3401 ATWOOD RD
    LITTLE ROCK, AR
    ZIP 72206
  • Facility Phone: 501 888-2223
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHAEL L. HUDMAN
  • NPI Number: 1851443774
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2310191
LAB Type Pharmacy
Facility Name LANDMARK PHARMACY, LLC
Street 3401 ATWOOD RD
City LITTLE ROCK
State AR
ZIP 72206
Phone 501 888-2223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Pharmacy
Lab Director RACHAEL L. HUDMAN

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