37D2282421 CLIA NUMBER - CVS/PHARMACY #10520 OKLAHOMA CVS PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 37D2282421
  • Facility Name: CVS/PHARMACY #10520 OKLAHOMA CVS PHARMACY, LLC
  • Facility Address: 2107 NW CACHE ROAD
    LAWTON, OK
    ZIP 73505
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COURTNEY HICKS
  • NPI Number: 1861891350
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2282421
LAB Type Pharmacy
Facility Name CVS/PHARMACY #10520 OKLAHOMA CVS PHARMACY, LLC
Street 2107 NW CACHE ROAD
City LAWTON
State OK
ZIP 73505
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 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Pharmacy
Lab Director COURTNEY HICKS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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