37D2008032 CLIA NUMBER - WALGREENS # 10957

Laboratory Demographics

  • CLIA Code: 37D2008032
  • Facility Name: WALGREENS # 10957
  • Facility Address: 3232 TRI CITY DRIVE
    NEWCASTLE, OK
    ZIP 73065
  • Facility Phone: 405 387-5006
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DYLAN M. HANCIN
  • NPI Number: 1518159383
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2008032
LAB Type Pharmacy
Facility Name WALGREENS # 10957
Street 3232 TRI CITY DRIVE
City NEWCASTLE
State OK
ZIP 73065
Phone 405 387-5006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Pharmacy
Lab Director DYLAN M. HANCIN

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