37D2284631 CLIA NUMBER - HOMELAND PHARMACY #469

Laboratory Demographics

  • CLIA Code: 37D2284631
  • Facility Name: HOMELAND PHARMACY #469
  • Facility Address: 421 N MAIN ST
    STILLWATER, OK
    ZIP 74075
  • Facility Phone: 405 743-1080
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAURY CAMPBELL
  • NPI Number: 1033156559
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2284631
LAB Type Pharmacy
Facility Name HOMELAND PHARMACY #469
Street 421 N MAIN ST
City STILLWATER
State OK
ZIP 74075
Phone 405 743-1080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Pharmacy
Lab Director MAURY CAMPBELL

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