37D2013042 CLIA NUMBER - WALGREENS #07504

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Laboratory Demographics

CLIA Number: 37D2013042

Facility Name: WALGREENS #07504

Facility Address:
601 W WILL ROGERS BLVD
CLAREMORE, OK
ZIP 74017
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Facility Phone Number: 918 343-7451

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1164437141

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	37D2013042
LAB Type	Pharmacy
Facility Name	WALGREENS #07504
Street	601 W WILL ROGERS BLVD
City	CLAREMORE
State	OK
ZIP	74017
Phone	918 343-7451
CertificateType	4
CertificateEffectiveDate	7/30/2023
CertificateExpirationDate	7/29/2025
FacilityType	Waiver

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