37D2064282 CLIA NUMBER - WALGREENS #05738

Laboratory Demographics

  • CLIA Code: 37D2064282
  • Facility Name: WALGREENS #05738
  • Facility Address: 1229 N EASTERN AVE
    MOORE, OK
    ZIP 73160
  • Facility Phone: 405 793-1120
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER R. HOLBROOK
  • NPI Number: 1235144205
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2064282
LAB Type Pharmacy
Facility Name WALGREENS #05738
Street 1229 N EASTERN AVE
City MOORE
State OK
ZIP 73160
Phone 405 793-1120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director JENNIFER R. HOLBROOK

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