37D2208882 CLIA NUMBER - WALGREENS #05421

Laboratory Demographics

  • CLIA Code: 37D2208882
  • Facility Name: WALGREENS #05421
  • Facility Address: 1438 N LEWIS AVE
    TULSA, OK
    ZIP 74110
  • Facility Phone: 918 583-7593
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: RYAN G. WALKER
  • NPI Number: 1326053380
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2208882
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #05421
Street 1438 N LEWIS AVE
City TULSA
State OK
ZIP 74110
Phone 918 583-7593
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Other - COVID-19 TEST SITE
Lab Director RYAN G. WALKER

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This page was last updated on: 3/20/2025