37D2225879 CLIA NUMBER - WALGREENS #15776

Laboratory Demographics

  • CLIA Code: 37D2225879
  • Facility Name: WALGREENS #15776
  • Facility Address: 4423 SOUTHWEST BLVD
    TULSA, OK
    ZIP 74107
  • Facility Phone: 918 446-3541
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRETT NIBLER
  • NPI Number: 1740364884
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2225879
LAB Type Pharmacy
Facility Name WALGREENS #15776
Street 4423 SOUTHWEST BLVD
City TULSA
State OK
ZIP 74107
Phone 918 446-3541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director BRETT NIBLER

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