37D2071089 CLIA NUMBER - HOMELAND PHARMACY #169

Laboratory Demographics

  • CLIA Code: 37D2071089
  • Facility Name: HOMELAND PHARMACY #169
  • Facility Address: 205 N COMMERCE
    ARDMORE, OK
    ZIP 73401
  • Facility Phone: 580 223-0143
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EVELYN PARENTEAU
  • NPI Number: 1801911995
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2071089
LAB Type Pharmacy
Facility Name HOMELAND PHARMACY #169
Street 205 N COMMERCE
City ARDMORE
State OK
ZIP 73401
Phone 580 223-0143
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 EVELYN PARENTEAU

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