37D2012855 CLIA NUMBER - WALGREENS #04703

Laboratory Demographics

  • CLIA Code: 37D2012855
  • Facility Name: WALGREENS #04703
  • Facility Address: 701 NW SHERIDAN ROAD
    LAWTON, OK
    ZIP 73505
  • Facility Phone: 580 353-3948
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEREK WOODS
  • NPI Number: 1427063494
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2012855
LAB Type Pharmacy
Facility Name WALGREENS #04703
Street 701 NW SHERIDAN ROAD
City LAWTON
State OK
ZIP 73505
Phone 580 353-3948
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director DEREK WOODS

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