04D2319071 CLIA NUMBER - HARPS PHARMACY #177

Laboratory Demographics

  • CLIA Code: 04D2319071
  • Facility Name: HARPS PHARMACY #177
  • Facility Address: 1780 NORTH CROSSOVER ROAD
    FAYETTEVILLE, AR
    ZIP 72703
  • Facility Phone: 479 571-1214
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT L. ACORD
  • NPI Number: 1962502286
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2319071
LAB Type Pharmacy
Facility Name HARPS PHARMACY #177
Street 1780 NORTH CROSSOVER ROAD
City FAYETTEVILLE
State AR
ZIP 72703
Phone 479 571-1214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Pharmacy
Lab Director ROBERT L. ACORD

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