37D2129707 CLIA NUMBER - WALMART PHARMACY 10-3723

Laboratory Demographics

  • CLIA Code: 37D2129707
  • Facility Name: WALMART PHARMACY 10-3723
  • Facility Address: 800 E MAIN ST
    LOCUST GROVE, OK
    ZIP 74352
  • Facility Phone: 918 479-4815
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA D. ELLIS
  • NPI Number: 1992108799
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2129707
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3723
Street 800 E MAIN ST
City LOCUST GROVE
State OK
ZIP 74352
Phone 918 479-4815
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 JESSICA D. ELLIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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