37D1062286 CLIA NUMBER - MEDICAP PHARMACY STORE #8125

Laboratory Demographics

  • CLIA Code: 37D1062286
  • Facility Name: MEDICAP PHARMACY STORE #8125
  • Facility Address: 262 E 141ST
    GLENPOOL, OK
    ZIP 74033
  • Facility Phone: 918 322-3667
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRYAN L. GREEN
  • NPI Number: 1871823781
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D1062286
LAB Type Pharmacy
Facility Name MEDICAP PHARMACY STORE #8125
Street 262 E 141ST
City GLENPOOL
State OK
ZIP 74033
Phone 918 322-3667
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Pharmacy
Lab Director BRYAN L. GREEN

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