37D2217134 CLIA NUMBER - CVS/PHARMACY #07972 OKLAHOMA CVS PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 37D2217134
  • Facility Name: CVS/PHARMACY #07972 OKLAHOMA CVS PHARMACY, LLC
  • Facility Address: 4107 S HARVARD AVE
    TULSA, OK
    ZIP 74135
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHEYENNE NGUYEN
  • NPI Number: 1720302136
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2217134
LAB Type Pharmacy
Facility Name CVS/PHARMACY #07972 OKLAHOMA CVS PHARMACY, LLC
Street 4107 S HARVARD AVE
City TULSA
State OK
ZIP 74135
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Pharmacy
Lab Director CHEYENNE NGUYEN

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