37D2255842 CLIA NUMBER - CVS/PHARMACY #10272 OKLAHOMA CVS PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 37D2255842
  • Facility Name: CVS/PHARMACY #10272 OKLAHOMA CVS PHARMACY, LLC
  • Facility Address: 100 NORTH JM DAVIS BLVD
    CLAREMORE, OK
    ZIP 74017
  • Facility Phone: (866) 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS BANES
  • NPI Number: 1295156966
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2255842
LAB Type Pharmacy
Facility Name CVS/PHARMACY #10272 OKLAHOMA CVS PHARMACY, LLC
Street 100 NORTH JM DAVIS BLVD
City CLAREMORE
State OK
ZIP 74017
Phone 8663892727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2026
Certificate Expiration Date 3/16/2028
Facility Type Pharmacy
Lab Director THOMAS BANES

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This page was last updated on: 5/18/2026