37D2212773 CLIA NUMBER - WALGREENS #09595

Laboratory Demographics

  • CLIA Code: 37D2212773
  • Facility Name: WALGREENS #09595
  • Facility Address: 210 S ELM ST
    JENKS, OK
    ZIP 74037
  • Facility Phone: 918 298-2691
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. CRAIG A. BAMFORD
  • NPI Number: 1699780676
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2212773
LAB Type Pharmacy
Facility Name WALGREENS #09595
Street 210 S ELM ST
City JENKS
State OK
ZIP 74037
Phone 918 298-2691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Pharmacy
Lab Director DR. CRAIG A. BAMFORD

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