37D2064280 CLIA NUMBER - WALGREENS #09223

Laboratory Demographics

  • CLIA Code: 37D2064280
  • Facility Name: WALGREENS #09223
  • Facility Address: 9950 SE 15TH ST
    MIDWEST CITY, OK
    ZIP 73130
  • Facility Phone: 405 741-2919
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY GURTZ
  • NPI Number: 1245245224
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2064280
LAB Type Pharmacy
Facility Name WALGREENS #09223
Street 9950 SE 15TH ST
City MIDWEST CITY
State OK
ZIP 73130
Phone 405 741-2919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Pharmacy
Lab Director JEREMY GURTZ

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