37D2231144 CLIA NUMBER - WALGREENS #04895

Laboratory Demographics

  • CLIA Code: 37D2231144
  • Facility Name: WALGREENS #04895
  • Facility Address: 2400 N MAY AVE
    OKLAHOMA CITY, OK
    ZIP 73107
  • Facility Phone: 405 943-9361
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AN THIEN HOANG
  • NPI Number: 1063427037
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2231144
LAB Type Pharmacy
Facility Name WALGREENS #04895
Street 2400 N MAY AVE
City OKLAHOMA CITY
State OK
ZIP 73107
Phone 405 943-9361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director AN THIEN HOANG

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