37D2064963 CLIA NUMBER - HOMELAND PHARMACY #170

Laboratory Demographics

  • CLIA Code: 37D2064963
  • Facility Name: HOMELAND PHARMACY #170
  • Facility Address: 412 W THIRD
    ELK CITY, OK
    ZIP 73644
  • Facility Phone: 580 225-7961
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SILAS DODGEN
  • NPI Number: 1992820088
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2064963
LAB Type Pharmacy
Facility Name HOMELAND PHARMACY #170
Street 412 W THIRD
City ELK CITY
State OK
ZIP 73644
Phone 580 225-7961
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Pharmacy
Lab Director SILAS DODGEN

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