37D2129709 CLIA NUMBER - WALMART PHARMACY 10-0479

Laboratory Demographics

  • CLIA Code: 37D2129709
  • Facility Name: WALMART PHARMACY 10-0479
  • Facility Address: 2500 N MAIN ST
    ALTUS, OK
    ZIP 73521
  • Facility Phone: 580 482-8466
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA M. SHELTON
  • NPI Number: 1871510990
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2129709
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0479
Street 2500 N MAIN ST
City ALTUS
State OK
ZIP 73521
Phone 580 482-8466
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 LISA M. SHELTON

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