04D2314783 CLIA NUMBER - COLLIER DRUG-LOWELL

Laboratory Demographics

  • CLIA Code: 04D2314783
  • Facility Name: COLLIER DRUG-LOWELL
  • Facility Address: 112 S DIXIELAND ST
    LOWELL, AR
    ZIP 72745
  • Facility Phone: 479 334-5239
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHRYN STARK
  • NPI Number: 1053165563
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2314783
LAB Type Pharmacy
Facility Name COLLIER DRUG-LOWELL
Street 112 S DIXIELAND ST
City LOWELL
State AR
ZIP 72745
Phone 479 334-5239
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Pharmacy
Lab Director KATHRYN STARK

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