37D2130942 CLIA NUMBER - WALMART PHARMACY 10-212

Laboratory Demographics

  • CLIA Code: 37D2130942
  • Facility Name: WALMART PHARMACY 10-212
  • Facility Address: 333 N INTERSTATE DR
    NORMAN, OK
    ZIP 73069
  • Facility Phone: 405 329-5761
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARLOS M. CARMONA
  • NPI Number: 1982356051
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 37D2130942
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-212
Street 333 N INTERSTATE DR
City NORMAN
State OK
ZIP 73069
Phone 405 329-5761
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Pharmacy
Lab Director CARLOS M. CARMONA

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