37D2129710 CLIA NUMBER - WALMART PHARMACY 10-0232

Laboratory Demographics

  • CLIA Code: 37D2129710
  • Facility Name: WALMART PHARMACY 10-0232
  • Facility Address: 1983 S MISSISSIPPI AVE
    ATOKA, OK
    ZIP 74525
  • Facility Phone: 580 889-3000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRETT C. DOYLE
  • NPI Number: 1053338186
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2129710
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0232
Street 1983 S MISSISSIPPI AVE
City ATOKA
State OK
ZIP 74525
Phone 580 889-3000
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 BRETT C. DOYLE

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