37D2221190 CLIA NUMBER - WALGREENS #05740

Laboratory Demographics

  • CLIA Code: 37D2221190
  • Facility Name: WALGREENS #05740
  • Facility Address: 7930 NW EXPRESSWAY
    OKLAHOMA CITY, OK
    ZIP 73132
  • Facility Phone: 405 773-5069
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAYLEY JORDAN
  • NPI Number: 1508871575
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2221190
LAB Type Pharmacy
Facility Name WALGREENS #05740
Street 7930 NW EXPRESSWAY
City OKLAHOMA CITY
State OK
ZIP 73132
Phone 405 773-5069
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Pharmacy
Lab Director KAYLEY JORDAN

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