37D2191831 CLIA NUMBER - WALGREENS #06268

Laboratory Demographics

CLIA Number: 37D2191831

Facility Name: WALGREENS #06268

Facility Address:
4561 N PEORIA AVE
TULSA, OK
ZIP 74106
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Facility Phone Number: 918 425-5716

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1326053398

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 37D2191831
LAB Type Pharmacy
Facility Name WALGREENS #06268
Street 4561 N PEORIA AVE
City TULSA
State OK
ZIP 74106
Phone 918 425-5716
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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