37D2085140 CLIA NUMBER - LIFE PHARMACY

Laboratory Demographics

  • CLIA Code: 37D2085140
  • Facility Name: LIFE PHARMACY
  • Facility Address: 1260 W COVELL RD
    EDMOND, OK
    ZIP 73003
  • Facility Phone: 405 562-4242
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAJA SALEH
  • NPI Number: 1013322213
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2085140
LAB Type Pharmacy
Facility Name LIFE PHARMACY
Street 1260 W COVELL RD
City EDMOND
State OK
ZIP 73003
Phone 405 562-4242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Pharmacy
Lab Director RAJA SALEH

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