37D2231637 CLIA NUMBER - WALGREENS #03258

Laboratory Demographics

  • CLIA Code: 37D2231637
  • Facility Name: WALGREENS #03258
  • Facility Address: 4971 S MEMORIAL DR
    TULSA, OK
    ZIP 74145
  • Facility Phone: 918 663-4578
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BARRET M. SMITH
  • NPI Number: 1366526022
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2231637
LAB Type Pharmacy
Facility Name WALGREENS #03258
Street 4971 S MEMORIAL DR
City TULSA
State OK
ZIP 74145
Phone 918 663-4578
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2023
Certificate Expiration Date 8/3/2025
Facility Type Pharmacy
Lab Director BARRET M. SMITH

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This page was last updated on: 6/4/2025