37D2057529 CLIA NUMBER - WALGREENS #10916

Laboratory Demographics

  • CLIA Code: 37D2057529
  • Facility Name: WALGREENS #10916
  • Facility Address: 1621 S DIVISION ST
    GUTHRIE, OK
    ZIP 73044
  • Facility Phone: 405 260-1574
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DYLAN HANCIN
  • NPI Number: 1902098775
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2057529
LAB Type Pharmacy
Facility Name WALGREENS #10916
Street 1621 S DIVISION ST
City GUTHRIE
State OK
ZIP 73044
Phone 405 260-1574
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Pharmacy
Lab Director DYLAN HANCIN

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