37D2064288 CLIA NUMBER - WALGREENS #12027

Laboratory Demographics

  • CLIA Code: 37D2064288
  • Facility Name: WALGREENS #12027
  • Facility Address: 1550 SW 27TH ST
    EL RENO, OK
    ZIP 73036
  • Facility Phone: 405 262-0293
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY L. TERRELL
  • NPI Number: 1194964544
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2064288
LAB Type Pharmacy
Facility Name WALGREENS #12027
Street 1550 SW 27TH ST
City EL RENO
State OK
ZIP 73036
Phone 405 262-0293
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 JEFFREY L. TERRELL

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