37D2154776 CLIA NUMBER - INOLA DRUG, INC

Laboratory Demographics

  • CLIA Code: 37D2154776
  • Facility Name: INOLA DRUG, INC
  • Facility Address: 19 W COMMERCIAL
    INOLA, OK
    ZIP 74036
  • Facility Phone: 918 543-8777
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHENIE D. RODRIGUIZ
  • NPI Number: 1487722211
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2154776
LAB Type Pharmacy
Facility Name INOLA DRUG, INC
Street 19 W COMMERCIAL
City INOLA
State OK
ZIP 74036
Phone 918 543-8777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Pharmacy
Lab Director STEPHENIE D. RODRIGUIZ

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