37D2153313 CLIA NUMBER - WALMART PHARMACY 10-0050

Laboratory Demographics

  • CLIA Code: 37D2153313
  • Facility Name: WALMART PHARMACY 10-0050
  • Facility Address: 268 S 7TH ST
    VINITA, OK
    ZIP 74301
  • Facility Phone: 918 256-6435
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY R. VAUGHAN
  • NPI Number: 1316964422
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2153313
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0050
Street 268 S 7TH ST
City VINITA
State OK
ZIP 74301
Phone 918 256-6435
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 AMY R. VAUGHAN

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