37D2191655 CLIA NUMBER - CLINIC PHARMACY

Laboratory Demographics

  • CLIA Code: 37D2191655
  • Facility Name: CLINIC PHARMACY
  • Facility Address: 1210 N LELIA
    GUYMON, OK
    ZIP 73942
  • Facility Phone: 580 338-3339
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELLE H. MELTON
  • NPI Number: 1508945486
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2191655
LAB Type Pharmacy
Facility Name CLINIC PHARMACY
Street 1210 N LELIA
City GUYMON
State OK
ZIP 73942
Phone 580 338-3339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Pharmacy
Lab Director CHELLE H. MELTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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