37D2012874 CLIA NUMBER - WALGREENS #05142

Laboratory Demographics

  • CLIA Code: 37D2012874
  • Facility Name: WALGREENS #05142
  • Facility Address: 1100 N HIGHWAY 81
    DUNCAN, OK
    ZIP 73533
  • Facility Phone: 580 252-2375
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW K. BECKMAN
  • NPI Number: 1245245216
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2012874
LAB Type Pharmacy
Facility Name WALGREENS #05142
Street 1100 N HIGHWAY 81
City DUNCAN
State OK
ZIP 73533
Phone 580 252-2375
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 ANDREW K. BECKMAN

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