37D2064286 CLIA NUMBER - WALGREENS #07222

Laboratory Demographics

  • CLIA Code: 37D2064286
  • Facility Name: WALGREENS #07222
  • Facility Address: 112 E STATE HIGHWAY 152
    MUSTANG, OK
    ZIP 73064
  • Facility Phone: 405 376-3751
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DYLAN HANCIN
  • NPI Number: 1407861479
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2064286
LAB Type Pharmacy
Facility Name WALGREENS #07222
Street 112 E STATE HIGHWAY 152
City MUSTANG
State OK
ZIP 73064
Phone 405 376-3751
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Pharmacy
Lab Director DYLAN HANCIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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