37D2153312 CLIA NUMBER - WALMART PHARMACY 10-49

Laboratory Demographics

  • CLIA Code: 37D2153312
  • Facility Name: WALMART PHARMACY 10-49
  • Facility Address: 1911 E JACKSON ST
    HUGO, OK
    ZIP 74743
  • Facility Phone: (580) 326-7541
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHELLY R. GUTHRIE
  • NPI Number: 1598783268
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2153312
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-49
Street 1911 E JACKSON ST
City HUGO
State OK
ZIP 74743
Phone 5803267541
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 SHELLY R. GUTHRIE

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This page was last updated on: 5/18/2026