37D2029814 CLIA NUMBER - WALGREENS #11317

Laboratory Demographics

  • CLIA Code: 37D2029814
  • Facility Name: WALGREENS #11317
  • Facility Address: 302 UNIVERSITY PLACE
    DURANT, OK
    ZIP 74701
  • Facility Phone: 580 920-1145
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DYLAN HANCIN
  • NPI Number: 1881872190
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2029814
LAB Type Pharmacy
Facility Name WALGREENS #11317
Street 302 UNIVERSITY PLACE
City DURANT
State OK
ZIP 74701
Phone 580 920-1145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Pharmacy
Lab Director DYLAN HANCIN

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