37D2126575 CLIA NUMBER - SAM'S CLUB PHARMACY 10-7189

Laboratory Demographics

  • CLIA Code: 37D2126575
  • Facility Name: SAM'S CLUB PHARMACY 10-7189
  • Facility Address: 4101 N MAY AVE
    OKLAHOMA CITY, OK
    ZIP 73112
  • Facility Phone: 405 200-0363
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JO NEL E. REYNOLDS
  • NPI Number: 1831558188
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 37D2126575
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-7189
Street 4101 N MAY AVE
City OKLAHOMA CITY
State OK
ZIP 73112
Phone 405 200-0363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Pharmacy
Lab Director JO NEL E. REYNOLDS

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