37D2127585 CLIA NUMBER - WALMART PHARMACY 10-0010

Laboratory Demographics

  • CLIA Code: 37D2127585
  • Facility Name: WALMART PHARMACY 10-0010
  • Facility Address: 2020 S MUSKOGEE AVE
    TAHLEQUAH, OK
    ZIP 74464
  • Facility Phone: 918 456-2437
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LARRY L. BURKART
  • NPI Number: 1023035136
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2127585
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0010
Street 2020 S MUSKOGEE AVE
City TAHLEQUAH
State OK
ZIP 74464
Phone 918 456-2437
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 LARRY L. BURKART

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