37D2064287 CLIA NUMBER - WALGREENS #11295

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Laboratory Demographics

CLIA Number: 37D2064287

Facility Name: WALGREENS #11295

Facility Address:
1005 ARLINGTON ST
ADA, OK
ZIP 74820
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Facility Phone Number: 580 272-0283

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1396932265

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	37D2064287
LAB Type	Pharmacy
Facility Name	WALGREENS #11295
Street	1005 ARLINGTON ST
City	ADA
State	OK
ZIP	74820
Phone	580 272-0283
CertificateType	4
CertificateEffectiveDate	4/23/2023
CertificateExpirationDate	4/22/2025
FacilityType	Waiver

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