37D2182820 CLIA NUMBER - MEDICINE STORE, THE

Laboratory Demographics

  • CLIA Code: 37D2182820
  • Facility Name: MEDICINE STORE, THE
  • Facility Address: 311 N WASHINGTON AVE
    DURANT, OK
    ZIP 74701
  • Facility Phone: 580 924-3784
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SABRINA D. EDGEMAN
  • NPI Number: 1376728626
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2182820
LAB Type Pharmacy
Facility Name MEDICINE STORE, THE
Street 311 N WASHINGTON AVE
City DURANT
State OK
ZIP 74701
Phone 580 924-3784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Pharmacy
Lab Director SABRINA D. EDGEMAN

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