37D2012066 CLIA NUMBER - WALGREENS #09693

Laboratory Demographics

  • CLIA Code: 37D2012066
  • Facility Name: WALGREENS #09693
  • Facility Address: 1000 E CARL ALBERT PKWY
    MCALESTER, OK
    ZIP 74501
  • Facility Phone: 918 426-7657
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DYLAN HANCIN
  • NPI Number: 1063427045
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2012066
LAB Type Pharmacy
Facility Name WALGREENS #09693
Street 1000 E CARL ALBERT PKWY
City MCALESTER
State OK
ZIP 74501
Phone 918 426-7657
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director DYLAN HANCIN

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