37D2127584 CLIA NUMBER - WALMART PHARMACY 10-0081

Laboratory Demographics

  • CLIA Code: 37D2127584
  • Facility Name: WALMART PHARMACY 10-0081
  • Facility Address: 84127 HWY 59
    STILWELL, OK
    ZIP 74960
  • Facility Phone: 918 696-3186
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD G. MAUL
  • NPI Number: 1306863410
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2127584
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0081
Street 84127 HWY 59
City STILWELL
State OK
ZIP 74960
Phone 918 696-3186
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 RICHARD G. MAUL

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