37D1092291 CLIA NUMBER - WALGREENS #06109

Laboratory Demographics

  • CLIA Code: 37D1092291
  • Facility Name: WALGREENS #06109
  • Facility Address: 1640 SW 119TH STREET
    OKLAHOMA CITY, OK
    ZIP 73170
  • Facility Phone: 405 692-3432
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDA HUFF
  • NPI Number: 1982611869
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D1092291
LAB Type Pharmacy
Facility Name WALGREENS #06109
Street 1640 SW 119TH STREET
City OKLAHOMA CITY
State OK
ZIP 73170
Phone 405 692-3432
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Pharmacy
Lab Director LINDA HUFF

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