37D2119857 CLIA NUMBER - WALMART PHARMACY 10-0134

Laboratory Demographics

  • CLIA Code: 37D2119857
  • Facility Name: WALMART PHARMACY 10-0134
  • Facility Address: 210 REGIONAL DR
    ELK CITY, OK
    ZIP 73644
  • Facility Phone: 580 225-1575
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LOIS N. BAKER
  • NPI Number: 1124045240
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2119857
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0134
Street 210 REGIONAL DR
City ELK CITY
State OK
ZIP 73644
Phone 580 225-1575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Pharmacy
Lab Director LOIS N. BAKER

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