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37D2121634 CLIA NUMBER - WALMART PHAMACY 10-3327

Laboratory Demographics

CLIA Number: 37D2121634

Facility Name: WALMART PHAMACY 10-3327

Facility Address:
2900 SW 134TH STREET
OKLAHOMA CITY, OK
ZIP 73170
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Facility Phone Number: 405 300-6440

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1316318934

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 37D2121634
LAB Type Pharmacy
Facility Name WALMART PHAMACY 10-3327
Street 2900 SW 134TH STREET
City OKLAHOMA CITY
State OK
ZIP 73170
Phone 405 300-6440
CertificateType 4
CertificateEffectiveDate 11/9/2022
CertificateExpirationDate 11/8/2024
FacilityType Waiver

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