37D2012815 CLIA NUMBER - WALGREENS #03643

Laboratory Demographics

  • CLIA Code: 37D2012815
  • Facility Name: WALGREENS #03643
  • Facility Address: 9011 S PENNSYLVANIA AVE
    OKLAHOMA CITY, OK
    ZIP 73159
  • Facility Phone: 405 692-1882
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF A. SCHUFF
  • NPI Number: 1366459240
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2012815
LAB Type Pharmacy
Facility Name WALGREENS #03643
Street 9011 S PENNSYLVANIA AVE
City OKLAHOMA CITY
State OK
ZIP 73159
Phone 405 692-1882
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 JEFF A. SCHUFF

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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