37D2029823 CLIA NUMBER - WALGREENS #09670

Laboratory Demographics

  • CLIA Code: 37D2029823
  • Facility Name: WALGREENS #09670
  • Facility Address: 1132 N MAIN ST
    ALTUS, OK
    ZIP 73521
  • Facility Phone: 580 477-1316
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JON R. SHELTON
  • NPI Number: 1891907705
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2029823
LAB Type Pharmacy
Facility Name WALGREENS #09670
Street 1132 N MAIN ST
City ALTUS
State OK
ZIP 73521
Phone 580 477-1316
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 JON R. SHELTON

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