37D2218315 CLIA NUMBER - WALGREENS #11559

Laboratory Demographics

  • CLIA Code: 37D2218315
  • Facility Name: WALGREENS #11559
  • Facility Address: 1305 W CHEROKEE ST
    WAGONER, OK
    ZIP 74467
  • Facility Phone: 918 485-6688
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HELENA L. ZELNICK
  • NPI Number: 1568637650
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2218315
LAB Type Pharmacy
Facility Name WALGREENS #11559
Street 1305 W CHEROKEE ST
City WAGONER
State OK
ZIP 74467
Phone 918 485-6688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Pharmacy
Lab Director HELENA L. ZELNICK

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