37D2029808 CLIA NUMBER - WALGREENS #05739

Laboratory Demographics

  • CLIA Code: 37D2029808
  • Facility Name: WALGREENS #05739
  • Facility Address: 1111 N COMMERCE ST
    ARDMORE, OK
    ZIP 73401
  • Facility Phone: 580 226-6978
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUZANN K. LESKELA
  • NPI Number: 1699780668
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2029808
LAB Type Pharmacy
Facility Name WALGREENS #05739
Street 1111 N COMMERCE ST
City ARDMORE
State OK
ZIP 73401
Phone 580 226-6978
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2023
Certificate Expiration Date 5/24/2025
Facility Type Pharmacy
Lab Director SUZANN K. LESKELA

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This page was last updated on: 3/20/2025