37D2305873 CLIA NUMBER - REASOR'S PHARMACY #918

Laboratory Demographics

  • CLIA Code: 37D2305873
  • Facility Name: REASOR'S PHARMACY #918
  • Facility Address: 11550 N 135TH E AVE
    OWASSO, OK
    ZIP 74055
  • Facility Phone: 918 371-6455
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARL WREN
  • NPI Number: 1083807697
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2305873
LAB Type Pharmacy
Facility Name REASOR'S PHARMACY #918
Street 11550 N 135TH E AVE
City OWASSO
State OK
ZIP 74055
Phone 918 371-6455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Pharmacy
Lab Director CARL WREN

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