37D2186614 CLIA NUMBER - UNITED PHARMACY, INC

Laboratory Demographics

  • CLIA Code: 37D2186614
  • Facility Name: UNITED PHARMACY, INC
  • Facility Address: 901 S CORNWELL DRIVE
    YUKON, OK
    ZIP 73099
  • Facility Phone: (405) 354-5233
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUAN M. ROSALES
  • NPI Number: 1164110045
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2186614
LAB Type Pharmacy
Facility Name UNITED PHARMACY, INC
Street 901 S CORNWELL DRIVE
City YUKON
State OK
ZIP 73099
Phone 4053545233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Pharmacy
Lab Director JUAN M. ROSALES

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This page was last updated on: 5/18/2026