37D2194595 CLIA NUMBER - WALGREENS #02543

Laboratory Demographics

  • CLIA Code: 37D2194595
  • Facility Name: WALGREENS #02543
  • Facility Address: 2345 N CLASSEN BLVD
    OKLAHOMA CITY, OK
    ZIP 73106
  • Facility Phone: 405 521-0924
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY M. BENNIGHT
  • NPI Number: 1154336139
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2194595
LAB Type Pharmacy
Facility Name WALGREENS #02543
Street 2345 N CLASSEN BLVD
City OKLAHOMA CITY
State OK
ZIP 73106
Phone 405 521-0924
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Pharmacy
Lab Director JEREMY M. BENNIGHT

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