37D2319947 CLIA NUMBER - ALBERTSONS PHARMACY #0031

Laboratory Demographics

  • CLIA Code: 37D2319947
  • Facility Name: ALBERTSONS PHARMACY #0031
  • Facility Address: 1855 12TH AVE NW
    ARDMORE, OK
    ZIP 73401
  • Facility Phone: 580 826-3660
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EVELYN PARENTEAU
  • NPI Number: 1134958457
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2319947
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #0031
Street 1855 12TH AVE NW
City ARDMORE
State OK
ZIP 73401
Phone 580 826-3660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Pharmacy
Lab Director EVELYN PARENTEAU

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