37D2211887 CLIA NUMBER - FREELAND BROWN PHARMACY

Laboratory Demographics

  • CLIA Code: 37D2211887
  • Facility Name: FREELAND BROWN PHARMACY
  • Facility Address: 4112 S PEORIA AVE
    TULSA, OK
    ZIP 74105
  • Facility Phone: 918 743-4491
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUAN OLVERA
  • NPI Number: 1700965472
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2211887
LAB Type Pharmacy
Facility Name FREELAND BROWN PHARMACY
Street 4112 S PEORIA AVE
City TULSA
State OK
ZIP 74105
Phone 918 743-4491
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Pharmacy
Lab Director JUAN OLVERA

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