37D2147431 CLIA NUMBER - WALMART PHARMACY 10-0389

Laboratory Demographics

  • CLIA Code: 37D2147431
  • Facility Name: WALMART PHARMACY 10-0389
  • Facility Address: 1225 W I-35 FRONTAGE
    EDMOND, OK
    ZIP 73034
  • Facility Phone: 405 348-3677
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LORI J. STEVENS
  • NPI Number: 1972175271
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 37D2147431
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0389
Street 1225 W I-35 FRONTAGE
City EDMOND
State OK
ZIP 73034
Phone 405 348-3677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Pharmacy
Lab Director LORI J. STEVENS

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