37D2064278 CLIA NUMBER - WALGREENS #11718

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Laboratory Demographics

CLIA Number: 37D2064278

Facility Name: WALGREENS #11718

Facility Address:
3915 W OWEN K GARRIOTT RD
ENID, OK
ZIP 73703
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Facility Phone Number: 580 237-2237

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1134382294

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType	4
CertificateEffectiveDate	7/29/2023
CertificateExpirationDate	7/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024