37D2012871 CLIA NUMBER - WALGREENS #05530

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Laboratory Demographics

CLIA Number: 37D2012871

Facility Name: WALGREENS #05530

Facility Address:
519 S MAIN ST
STILLWATER, OK
ZIP 74074
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Facility Phone Number: 405 377-0349

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1144235110

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	37D2012871
LAB Type	Pharmacy
Facility Name	WALGREENS #05530
Street	519 S MAIN ST
City	STILLWATER
State	OK
ZIP	74074
Phone	405 377-0349
CertificateType	4
CertificateEffectiveDate	3/25/2023
CertificateExpirationDate	3/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024