37D2175487 CLIA NUMBER - CUSHING FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 37D2175487
  • Facility Name: CUSHING FAMILY PHARMACY
  • Facility Address: 200 S HIGHLAND
    CUSHING, OK
    ZIP 74023
  • Facility Phone: 918 225-5200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON E. THIBODEAU
  • NPI Number: 1942753124
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2175487
LAB Type Pharmacy
Facility Name CUSHING FAMILY PHARMACY
Street 200 S HIGHLAND
City CUSHING
State OK
ZIP 74023
Phone 918 225-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Pharmacy
Lab Director JASON E. THIBODEAU

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