37D2061855 CLIA NUMBER - WALGREENS #07889

Laboratory Demographics

  • CLIA Code: 37D2061855
  • Facility Name: WALGREENS #07889
  • Facility Address: 910 N MAIN ST
    MIAMI, OK
    ZIP 74354
  • Facility Phone: 918 540-9544
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELINDA M. RANDLE
  • NPI Number: 1609881689
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2061855
LAB Type Pharmacy
Facility Name WALGREENS #07889
Street 910 N MAIN ST
City MIAMI
State OK
ZIP 74354
Phone 918 540-9544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Pharmacy
Lab Director MELINDA M. RANDLE

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