37D2212778 CLIA NUMBER - WALGREENS #15780

Laboratory Demographics

  • CLIA Code: 37D2212778
  • Facility Name: WALGREENS #15780
  • Facility Address: 5115 S PEORIA AVE
    TULSA, OK
    ZIP 74105
  • Facility Phone: 918 749-4601
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. AMY R. PAYNE
  • NPI Number: 1982619961
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2212778
LAB Type Pharmacy
Facility Name WALGREENS #15780
Street 5115 S PEORIA AVE
City TULSA
State OK
ZIP 74105
Phone 918 749-4601
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. AMY R. PAYNE

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