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37D2225930 CLIA NUMBER - WALGREENS #03534

Laboratory Demographics

CLIA Number: 37D2225930

Facility Name: WALGREENS #03534

Facility Address:
4704 S ELM PL
BROKEN ARROW, OK
ZIP 74011
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Facility Phone Number: 918 455-8308

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1316952377

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 37D2225930
LAB Type Pharmacy
Facility Name WALGREENS #03534
Street 4704 S ELM PL
City BROKEN ARROW
State OK
ZIP 74011
Phone 918 455-8308
CertificateType 4
CertificateEffectiveDate 5/25/2023
CertificateExpirationDate 5/24/2025
FacilityType Waiver

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