37D2064281 CLIA NUMBER - WALGREENS #09582

Laboratory Demographics

  • CLIA Code: 37D2064281
  • Facility Name: WALGREENS #09582
  • Facility Address: 8917 NE 23RD ST
    OKLAHOMA CITY, OK
    ZIP 73141
  • Facility Phone: 405 769-2712
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DYLAN HANCIN
  • NPI Number: 1972518959
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2064281
LAB Type Pharmacy
Facility Name WALGREENS #09582
Street 8917 NE 23RD ST
City OKLAHOMA CITY
State OK
ZIP 73141
Phone 405 769-2712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director DYLAN HANCIN

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