37D2252824 CLIA NUMBER - POPKESS PHARMACY, INC

Laboratory Demographics

  • CLIA Code: 37D2252824
  • Facility Name: POPKESS PHARMACY, INC
  • Facility Address: 524 E DON TYLER AVE
    DEWEY, OK
    ZIP 74029
  • Facility Phone: 918 534-2262
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY CLARK
  • NPI Number: 1265592158
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2252824
LAB Type Pharmacy
Facility Name POPKESS PHARMACY, INC
Street 524 E DON TYLER AVE
City DEWEY
State OK
ZIP 74029
Phone 918 534-2262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Pharmacy
Lab Director ASHLEY CLARK

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