37D2186389 CLIA NUMBER - MEDIC PHARMACY AND GIFTS

Laboratory Demographics

  • CLIA Code: 37D2186389
  • Facility Name: MEDIC PHARMACY AND GIFTS
  • Facility Address: 119 W ADMIRE AVE
    KINGFISHER, OK
    ZIP 73750
  • Facility Phone: 405 375-3202
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TREVOR P. WILCZEK
  • NPI Number: 1174827273
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2186389
LAB Type Pharmacy
Facility Name MEDIC PHARMACY AND GIFTS
Street 119 W ADMIRE AVE
City KINGFISHER
State OK
ZIP 73750
Phone 405 375-3202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Pharmacy
Lab Director TREVOR P. WILCZEK

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