37D2129718 CLIA NUMBER - WALMART PHARMACY 10-0221

Laboratory Demographics

  • CLIA Code: 37D2129718
  • Facility Name: WALMART PHARMACY 10-0221
  • Facility Address: 1200 GARTH BROOKS BLVD
    YUKON, OK
    ZIP 73099
  • Facility Phone: 405 350-0500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT D. BUCHANAN
  • NPI Number: 1508883620
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2129718
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0221
Street 1200 GARTH BROOKS BLVD
City YUKON
State OK
ZIP 73099
Phone 405 350-0500
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 SCOTT D. BUCHANAN

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