37D2064278 CLIA NUMBER - WALGREENS #11718

Laboratory Demographics

  • CLIA Code: 37D2064278
  • Facility Name: WALGREENS #11718
  • Facility Address: 3915 W OWEN K GARRIOTT RD
    ENID, OK
    ZIP 73703
  • Facility Phone: 580 237-2237
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JARREE D. STANFORD
  • NPI Number: 1134382294
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2064278
LAB Type Pharmacy
Facility Name WALGREENS #11718
Street 3915 W OWEN K GARRIOTT RD
City ENID
State OK
ZIP 73703
Phone 580 237-2237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Pharmacy
Lab Director JARREE D. STANFORD

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