37D2121715 CLIA NUMBER - WALMART PHARMACY 10-3055

Laboratory Demographics

  • CLIA Code: 37D2121715
  • Facility Name: WALMART PHARMACY 10-3055
  • Facility Address: 19801 ROBSON RD
    CATOOSA, OK
    ZIP 74015
  • Facility Phone: 918 739-7003
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY N. MCMAHON
  • NPI Number: 1801213913
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2121715
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3055
Street 19801 ROBSON RD
City CATOOSA
State OK
ZIP 74015
Phone 918 739-7003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Pharmacy
Lab Director ASHLEY N. MCMAHON

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