37D2071085 CLIA NUMBER - HOMELAND PHARMACY #153

Laboratory Demographics

  • CLIA Code: 37D2071085
  • Facility Name: HOMELAND PHARMACY #153
  • Facility Address: 1108 NW 18TH STREET
    OKLAHOMA CITY, OK
    ZIP 73106
  • Facility Phone: 405 524-7741
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAYTIN D. FARROW
  • NPI Number: 1417072505
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2071085
LAB Type Pharmacy
Facility Name HOMELAND PHARMACY #153
Street 1108 NW 18TH STREET
City OKLAHOMA CITY
State OK
ZIP 73106
Phone 405 524-7741
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 DAYTIN D. FARROW

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