37D2231280 CLIA NUMBER - WALGREENS #03039

Laboratory Demographics

  • CLIA Code: 37D2231280
  • Facility Name: WALGREENS #03039
  • Facility Address: 6415 E PINE
    TULSA, OK
    ZIP 74115
  • Facility Phone: 918 834-0582
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAICHEL J. SAMUEL
  • NPI Number: 1962417923
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2231280
LAB Type Pharmacy
Facility Name WALGREENS #03039
Street 6415 E PINE
City TULSA
State OK
ZIP 74115
Phone 918 834-0582
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2023
Certificate Expiration Date 8/1/2025
Facility Type Pharmacy
Lab Director RAICHEL J. SAMUEL

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This page was last updated on: 3/20/2025