37D2127557 CLIA NUMBER - WALMART PHARMACY 10-0210

Laboratory Demographics

  • CLIA Code: 37D2127557
  • Facility Name: WALMART PHARMACY 10-0210
  • Facility Address: 500 EAST HIGHWAY 270
    HOLDENVILLE, OK
    ZIP 74848
  • Facility Phone: 405 379-3305
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINE J. MARTIN
  • NPI Number: 1922026681
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2127557
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0210
Street 500 EAST HIGHWAY 270
City HOLDENVILLE
State OK
ZIP 74848
Phone 405 379-3305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Pharmacy
Lab Director CHRISTINE J. MARTIN

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