37D2223941 CLIA NUMBER - CVS/PHARMACY #04896 OKLAHOMA CVS PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 37D2223941
  • Facility Name: CVS/PHARMACY #04896 OKLAHOMA CVS PHARMACY, LLC
  • Facility Address: 1853 S ASPEN AVE
    BROKEN ARROW, OK
    ZIP 74012
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAJIDAH SWAR
  • NPI Number: 1780822577
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2223941
LAB Type Pharmacy
Facility Name CVS/PHARMACY #04896 OKLAHOMA CVS PHARMACY, LLC
Street 1853 S ASPEN AVE
City BROKEN ARROW
State OK
ZIP 74012
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director SAJIDAH SWAR

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