37D2071107 CLIA NUMBER - UNITED PHARMACY #362

Laboratory Demographics

  • CLIA Code: 37D2071107
  • Facility Name: UNITED PHARMACY #362
  • Facility Address: 2700 W 3RD
    ELK CITY, OK
    ZIP 73644
  • Facility Phone: 580 225-1600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREG E. MOUSE
  • NPI Number: 1700142999
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2071107
LAB Type Pharmacy
Facility Name UNITED PHARMACY #362
Street 2700 W 3RD
City ELK CITY
State OK
ZIP 73644
Phone 580 225-1600
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 GREG E. MOUSE

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