37D2221311 CLIA NUMBER - WALGREENS #15751

Laboratory Demographics

CLIA Number: 37D2221311

Facility Name: WALGREENS #15751

Facility Address:
1920 SE WASHINGTON BLVD
BARTLESVILLE, OK
ZIP 74006
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Facility Phone Number: 918 335-4305

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1780699751

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	37D2221311
LAB Type	Pharmacy
Facility Name	WALGREENS #15751
Street	1920 SE WASHINGTON BLVD
City	BARTLESVILLE
State	OK
ZIP	74006
Phone	918 335-4305
CertificateType	4
CertificateEffectiveDate	4/20/2023
CertificateExpirationDate	4/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024