37D2129717 CLIA NUMBER - WALMART PHARMACY 10-0038

Laboratory Demographics

  • CLIA Code: 37D2129717
  • Facility Name: WALMART PHARMACY 10-0038
  • Facility Address: 1907 SE WASHINGTON ST
    IDABEL, OK
    ZIP 74745
  • Facility Phone: 580 286-3323
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARCIA L. COLLINS
  • NPI Number: 1699792721
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2129717
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0038
Street 1907 SE WASHINGTON ST
City IDABEL
State OK
ZIP 74745
Phone 580 286-3323
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 MARCIA L. COLLINS

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