37D2029818 CLIA NUMBER - WALGREENS #07816

Laboratory Demographics

  • CLIA Code: 37D2029818
  • Facility Name: WALGREENS #07816
  • Facility Address: 1019 E MAIN ST
    WEATHERFORD, OK
    ZIP 73096
  • Facility Phone: 580 772-2956
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DYLAN HANCIN
  • NPI Number: 1790790772
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2029818
LAB Type Pharmacy
Facility Name WALGREENS #07816
Street 1019 E MAIN ST
City WEATHERFORD
State OK
ZIP 73096
Phone 580 772-2956
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Pharmacy
Lab Director DYLAN HANCIN

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