37D2187549 CLIA NUMBER - MEDIC PHARMACY & GIFTS

Laboratory Demographics

  • CLIA Code: 37D2187549
  • Facility Name: MEDIC PHARMACY & GIFTS
  • Facility Address: 102 W JANE JAYROE BLVD
    LAVERNE, OK
    ZIP 73848
  • Facility Phone: 580 921-3373
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRYAN W. BELL
  • NPI Number: 1043384431
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2187549
LAB Type Pharmacy
Facility Name MEDIC PHARMACY & GIFTS
Street 102 W JANE JAYROE BLVD
City LAVERNE
State OK
ZIP 73848
Phone 580 921-3373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Pharmacy
Lab Director BRYAN W. BELL

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