37D2184023 CLIA NUMBER - CORNWELL PHARMACY

Laboratory Demographics

  • CLIA Code: 37D2184023
  • Facility Name: CORNWELL PHARMACY
  • Facility Address: 102 W NOBLE AVE
    GUTHRIE, OK
    ZIP 73044
  • Facility Phone: 405 282-7800
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLE NETTLEINGHAM
  • NPI Number: 1891278750
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2184023
LAB Type Pharmacy
Facility Name CORNWELL PHARMACY
Street 102 W NOBLE AVE
City GUTHRIE
State OK
ZIP 73044
Phone 405 282-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Pharmacy
Lab Director KYLE NETTLEINGHAM

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