37D2201312 CLIA NUMBER - SUPER H PHARMACY

Laboratory Demographics

  • CLIA Code: 37D2201312
  • Facility Name: SUPER H PHARMACY
  • Facility Address: 201 E 7TH ST
    BRISTOW, OK
    ZIP 74010
  • Facility Phone: 918 369-3328
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VAN E. HODGES
  • NPI Number: 1720171168
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2201312
LAB Type Pharmacy
Facility Name SUPER H PHARMACY
Street 201 E 7TH ST
City BRISTOW
State OK
ZIP 74010
Phone 918 369-3328
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Pharmacy
Lab Director VAN E. HODGES

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