37D2288027 CLIA NUMBER - WALGREENS #15782

Laboratory Demographics

  • CLIA Code: 37D2288027
  • Facility Name: WALGREENS #15782
  • Facility Address: 1714 UTICA SQ
    TULSA, OK
    ZIP 74114
  • Facility Phone: 918 743-9968
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANAIT PAHLEVANYAN
  • NPI Number: 1477637510
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2288027
LAB Type Pharmacy
Facility Name WALGREENS #15782
Street 1714 UTICA SQ
City TULSA
State OK
ZIP 74114
Phone 918 743-9968
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Pharmacy
Lab Director ANAIT PAHLEVANYAN

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