37D2146793 CLIA NUMBER - EXPRESS RX OF BARTLESVILLE

Laboratory Demographics

  • CLIA Code: 37D2146793
  • Facility Name: EXPRESS RX OF BARTLESVILLE
  • Facility Address: 143 SE WASHINGTON BLVD
    BARTLESVILLE, OK
    ZIP 74006
  • Facility Phone: 918 876-4204
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC CRUMBAUGH
  • NPI Number: 1386074946
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2146793
LAB Type Pharmacy
Facility Name EXPRESS RX OF BARTLESVILLE
Street 143 SE WASHINGTON BLVD
City BARTLESVILLE
State OK
ZIP 74006
Phone 918 876-4204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Pharmacy
Lab Director ERIC CRUMBAUGH

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