37D2185963 CLIA NUMBER - HERITAGE PHARMACY RJRX3, LLC

Laboratory Demographics

  • CLIA Code: 37D2185963
  • Facility Name: HERITAGE PHARMACY RJRX3, LLC
  • Facility Address: 1309 S MAIN ST
    KINGFISHER, OK
    ZIP 73750
  • Facility Phone: 405 375-6380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VANESSA J. ENGLAND
  • NPI Number: 1548509615
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2185963
LAB Type Physician Office
Facility Name HERITAGE PHARMACY RJRX3, LLC
Street 1309 S MAIN ST
City KINGFISHER
State OK
ZIP 73750
Phone 405 375-6380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Physician Office
Lab Director VANESSA J. ENGLAND

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