37D2012870 CLIA NUMBER - WALGREENS #03771

Laboratory Demographics

  • CLIA Code: 37D2012870
  • Facility Name: WALGREENS #03771
  • Facility Address: 7111 S LEWIS AVE
    TULSA, OK
    ZIP 74136
  • Facility Phone: 918 269-5713
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: DR. DYLAN HANCIN
  • NPI Number: 1255346227
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2012870
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #03771
Street 7111 S LEWIS AVE
City TULSA
State OK
ZIP 74136
Phone 918 269-5713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director DR. DYLAN HANCIN

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This page was last updated on: 6/4/2025