37D2153308 CLIA NUMBER - WALMART PHARMACY 10-0975

Laboratory Demographics

  • CLIA Code: 37D2153308
  • Facility Name: WALMART PHARMACY 10-0975
  • Facility Address: 3712 W MAIN ST
    DURANT, OK
    ZIP 74701
  • Facility Phone: 580 924-5112
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUREN P. RODRIGUEZ
  • NPI Number: 1417974544
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2153308
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0975
Street 3712 W MAIN ST
City DURANT
State OK
ZIP 74701
Phone 580 924-5112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Pharmacy
Lab Director LAUREN P. RODRIGUEZ

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