37D2236956 CLIA NUMBER - REAVIS DRUG

Laboratory Demographics

  • CLIA Code: 37D2236956
  • Facility Name: REAVIS DRUG
  • Facility Address: 110 BURR AVE
    PAULS VALLEY, OK
    ZIP 73075
  • Facility Phone: 405 238-7391
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARA JUSTICE
  • NPI Number: 1699772806
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2236956
LAB Type Pharmacy
Facility Name REAVIS DRUG
Street 110 BURR AVE
City PAULS VALLEY
State OK
ZIP 73075
Phone 405 238-7391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Pharmacy
Lab Director SARA JUSTICE

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