37D2217649 CLIA NUMBER - WALGREENS #10785

Laboratory Demographics

  • CLIA Code: 37D2217649
  • Facility Name: WALGREENS #10785
  • Facility Address: 1905 S MUSKOGEE AVE
    TAHLEQUAH, OK
    ZIP 74464
  • Facility Phone: 918 458-4283
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRESTON TURNER
  • NPI Number: 1346558830
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2217649
LAB Type Pharmacy
Facility Name WALGREENS #10785
Street 1905 S MUSKOGEE AVE
City TAHLEQUAH
State OK
ZIP 74464
Phone 918 458-4283
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Pharmacy
Lab Director PRESTON TURNER

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