37D2201524 CLIA NUMBER - CRESCENT CARE PHARMACY NEXT PLAN LLC

Laboratory Demographics

  • CLIA Code: 37D2201524
  • Facility Name: CRESCENT CARE PHARMACY NEXT PLAN LLC
  • Facility Address: 101 N GRAND
    CRESCENT, OK
    ZIP 73028
  • Facility Phone: 405 969-3518
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNA C. MALOY
  • NPI Number: 1578024774
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 37D2201524
LAB Type Pharmacy
Facility Name CRESCENT CARE PHARMACY NEXT PLAN LLC
Street 101 N GRAND
City CRESCENT
State OK
ZIP 73028
Phone 405 969-3518
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Pharmacy
Lab Director ANNA C. MALOY

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