37D2216056 CLIA NUMBER - WALGREENS #05531

Laboratory Demographics

  • CLIA Code: 37D2216056
  • Facility Name: WALGREENS #05531
  • Facility Address: 929 W OWEN K GARRIOTT RD
    ENID, OK
    ZIP 73701
  • Facility Phone: 580 237-3151
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAYDEE M. JUDD
  • NPI Number: 1881609857
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2216056
LAB Type Pharmacy
Facility Name WALGREENS #05531
Street 929 W OWEN K GARRIOTT RD
City ENID
State OK
ZIP 73701
Phone 580 237-3151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Pharmacy
Lab Director KAYDEE M. JUDD

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