37D2129702 CLIA NUMBER - WALMART PHARMACY 10-0607

Laboratory Demographics

  • CLIA Code: 37D2129702
  • Facility Name: WALMART PHARMACY 10-0607
  • Facility Address: 923 W 11TH ST
    HOBART, OK
    ZIP 73651
  • Facility Phone: 580 726-2630
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GABRIEL E. PRAY
  • NPI Number: 1770501439
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2129702
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0607
Street 923 W 11TH ST
City HOBART
State OK
ZIP 73651
Phone 580 726-2630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Pharmacy
Lab Director GABRIEL E. PRAY

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