37D2138542 CLIA NUMBER - RXSHOPPE

Laboratory Demographics

  • CLIA Code: 37D2138542
  • Facility Name: RXSHOPPE
  • Facility Address: 901 S MAIN ST
    GROVE, OK
    ZIP 74344
  • Facility Phone: 918 786-1092
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERESA K. BUTLER
  • NPI Number: 1962721464
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2138542
LAB Type Pharmacy
Facility Name RXSHOPPE
Street 901 S MAIN ST
City GROVE
State OK
ZIP 74344
Phone 918 786-1092
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Pharmacy
Lab Director TERESA K. BUTLER

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