37D2153318 CLIA NUMBER - WALMART PHARMACY 10-108

Laboratory Demographics

  • CLIA Code: 37D2153318
  • Facility Name: WALMART PHARMACY 10-108
  • Facility Address: 1608 S DIVISION ST
    GUTHRIE, OK
    ZIP 73044
  • Facility Phone: 405 282-1051
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER S. KOENIG
  • NPI Number: 1215954334
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2153318
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-108
Street 1608 S DIVISION ST
City GUTHRIE
State OK
ZIP 73044
Phone 405 282-1051
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 CHRISTOPHER S. KOENIG

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