37D2181975 CLIA NUMBER - MUSTANG DRUG

Laboratory Demographics

  • CLIA Code: 37D2181975
  • Facility Name: MUSTANG DRUG
  • Facility Address: 103 E HIGHWAY 152
    MUSTANG, OK
    ZIP 73064
  • Facility Phone: 405 256-0555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SELMA ALAMI
  • NPI Number: 1235688060
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2181975
LAB Type Pharmacy
Facility Name MUSTANG DRUG
Street 103 E HIGHWAY 152
City MUSTANG
State OK
ZIP 73064
Phone 405 256-0555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Pharmacy
Lab Director SELMA ALAMI

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