37D2231653 CLIA NUMBER - WALGREENS #15763

Laboratory Demographics

  • CLIA Code: 37D2231653
  • Facility Name: WALGREENS #15763
  • Facility Address: 591 SOUTH MILL STREET
    PRYOR, OK
    ZIP 74361
  • Facility Phone: 918 825-5303
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIFFANY C. CULP
  • NPI Number: 1447334594
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2231653
LAB Type Pharmacy
Facility Name WALGREENS #15763
Street 591 SOUTH MILL STREET
City PRYOR
State OK
ZIP 74361
Phone 918 825-5303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director TIFFANY C. CULP

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