37D2231152 CLIA NUMBER - WALGREENS #05529

Laboratory Demographics

  • CLIA Code: 37D2231152
  • Facility Name: WALGREENS #05529
  • Facility Address: 2330 CHANDLER RD
    MUSKOGEE, OK
    ZIP 74403
  • Facility Phone: 918 681-4910
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIANA KETCHER
  • NPI Number: 1417962481
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2231152
LAB Type Pharmacy
Facility Name WALGREENS #05529
Street 2330 CHANDLER RD
City MUSKOGEE
State OK
ZIP 74403
Phone 918 681-4910
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 BRIANA KETCHER

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