37D1092053 CLIA NUMBER - WALGREENS #03648

Laboratory Demographics

  • CLIA Code: 37D1092053
  • Facility Name: WALGREENS #03648
  • Facility Address: 301 S SANTE FE AVE
    EDMOND, OK
    ZIP 73003
  • Facility Phone: 405 330-6093
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT E. TERRELL
  • NPI Number: 1134134190
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D1092053
LAB Type Pharmacy
Facility Name WALGREENS #03648
Street 301 S SANTE FE AVE
City EDMOND
State OK
ZIP 73003
Phone 405 330-6093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Pharmacy
Lab Director SCOTT E. TERRELL

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