37D2071111 CLIA NUMBER - HOMELAND PHARMACY #495

Laboratory Demographics

  • CLIA Code: 37D2071111
  • Facility Name: HOMELAND PHARMACY #495
  • Facility Address: 310 W TRUDGEON
    HENRYETTA, OK
    ZIP 74437
  • Facility Phone: 918 652-2553
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WAYNE L. SPENCER
  • NPI Number: 1033234125
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2071111
LAB Type Pharmacy
Facility Name HOMELAND PHARMACY #495
Street 310 W TRUDGEON
City HENRYETTA
State OK
ZIP 74437
Phone 918 652-2553
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 WAYNE L. SPENCER

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