37D2012992 CLIA NUMBER - WALGREENS #03037

Laboratory Demographics

  • CLIA Code: 37D2012992
  • Facility Name: WALGREENS #03037
  • Facility Address: 11332 E 31ST ST
    TULSA, OK
    ZIP 74146
  • Facility Phone: 918 622-9684
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAMIRON LEE
  • NPI Number: 1144235102
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2012992
LAB Type Pharmacy
Facility Name WALGREENS #03037
Street 11332 E 31ST ST
City TULSA
State OK
ZIP 74146
Phone 918 622-9684
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Pharmacy
Lab Director KAMIRON LEE

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