37D2183782 CLIA NUMBER - BAKER PHARMACY, INC

Laboratory Demographics

  • CLIA Code: 37D2183782
  • Facility Name: BAKER PHARMACY, INC
  • Facility Address: 1022 E CHERRY ST
    CUSHING, OK
    ZIP 74023
  • Facility Phone: 918 225-2200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN L. KOENIG
  • NPI Number: 1245387307
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2183782
LAB Type Pharmacy
Facility Name BAKER PHARMACY, INC
Street 1022 E CHERRY ST
City CUSHING
State OK
ZIP 74023
Phone 918 225-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Pharmacy
Lab Director SUSAN L. KOENIG

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