Healther Providers Data Logo

37D2231304 CLIA NUMBER - WALGREENS #07858

Laboratory Demographics

CLIA Number: 37D2231304

Facility Name: WALGREENS #07858

Facility Address:
5104 S LEWIS AVE
TULSA, OK
ZIP 74105
Get Directions

Facility Phone Number: 918 747-8841

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1982619961

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 37D2231304
LAB Type Pharmacy
Facility Name WALGREENS #07858
Street 5104 S LEWIS AVE
City TULSA
State OK
ZIP 74105
Phone 918 747-8841
CertificateType 4
CertificateEffectiveDate 8/2/2023
CertificateExpirationDate 8/1/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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