37D2064287 CLIA NUMBER - WALGREENS #11295

Laboratory Demographics

  • CLIA Code: 37D2064287
  • Facility Name: WALGREENS #11295
  • Facility Address: 1005 ARLINGTON ST
    ADA, OK
    ZIP 74820
  • Facility Phone: 580 272-0283
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHAN HOYT
  • NPI Number: 1396932265
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Pharmacy
Lab Director NATHAN HOYT

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