37D2064285 CLIA NUMBER - WALGREENS #09375

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Laboratory Demographics

CLIA Number: 37D2064285

Facility Name: WALGREENS #09375

Facility Address:
1041 SW 19TH ST
OKLAHOMA CITY, OK
ZIP 73106
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Facility Phone Number: 918 269-5713

Facility Type: Other - COVID TESTING

Certificate Type: Waiver

NPI Number: 1154336139

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	37D2064285
LAB Type	Other - COVID TESTING
Facility Name	WALGREENS #09375
Street	1041 SW 19TH ST
City	OKLAHOMA CITY
State	OK
ZIP	73106
Phone	918 269-5713
CertificateType	4
CertificateEffectiveDate	1/19/2023
CertificateExpirationDate	1/18/2025
FacilityType	Waiver

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