37D2276352 CLIA NUMBER - SALISBURY PHARMACY KAC CONSULTING, LLC

Laboratory Demographics

  • CLIA Code: 37D2276352
  • Facility Name: SALISBURY PHARMACY KAC CONSULTING, LLC
  • Facility Address: 815 FRISCO AVE
    CLINTON, OK
    ZIP 73601
  • Facility Phone: 580 323-1244
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHELBY N. WILSON
  • NPI Number: 1891851168
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2276352
LAB Type Pharmacy
Facility Name SALISBURY PHARMACY KAC CONSULTING, LLC
Street 815 FRISCO AVE
City CLINTON
State OK
ZIP 73601
Phone 580 323-1244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Pharmacy
Lab Director SHELBY N. WILSON

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