37D2008027 CLIA NUMBER - WALGREENS # 03748

Laboratory Demographics

  • CLIA Code: 37D2008027
  • Facility Name: WALGREENS # 03748
  • Facility Address: 4300 SOUTHEAST 29TH
    DEL CITY, OK
    ZIP 73115
  • Facility Phone: 405 677-5519
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DYLAN HANCIN
  • NPI Number: 1770598732
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2008027
LAB Type Pharmacy
Facility Name WALGREENS # 03748
Street 4300 SOUTHEAST 29TH
City DEL CITY
State OK
ZIP 73115
Phone 405 677-5519
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director DYLAN HANCIN

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