37D2071084 CLIA NUMBER - HOMELAND PHARMACY #178

Laboratory Demographics

  • CLIA Code: 37D2071084
  • Facility Name: HOMELAND PHARMACY #178
  • Facility Address: 505 E CHICKASAW
    PAULS VALLEY, OK
    ZIP 73075
  • Facility Phone: 405 238-7505
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD SCHAFER
  • NPI Number: 1205951381
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2071084
LAB Type Pharmacy
Facility Name HOMELAND PHARMACY #178
Street 505 E CHICKASAW
City PAULS VALLEY
State OK
ZIP 73075
Phone 405 238-7505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Pharmacy
Lab Director RICHARD SCHAFER

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