37D2310519 CLIA NUMBER - REASOR'S PHARMACY #905

Laboratory Demographics

  • CLIA Code: 37D2310519
  • Facility Name: REASOR'S PHARMACY #905
  • Facility Address: 1914 W NORFOLK DR
    BROKEN ARROW, OK
    ZIP 74011
  • Facility Phone: 539 250-4625
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VICTORIA ROSS
  • NPI Number: 1063252260
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2310519
LAB Type Pharmacy
Facility Name REASOR'S PHARMACY #905
Street 1914 W NORFOLK DR
City BROKEN ARROW
State OK
ZIP 74011
Phone 539 250-4625
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Pharmacy
Lab Director VICTORIA ROSS

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