37D2153346 CLIA NUMBER - WALMART PHARMACY 10-129

Laboratory Demographics

  • CLIA Code: 37D2153346
  • Facility Name: WALMART PHARMACY 10-129
  • Facility Address: 1715 N COMMERCE ST
    ARDMORE, OK
    ZIP 73401
  • Facility Phone: 580 226-6444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTHONY O. NGUYEN
  • NPI Number: 1144247271
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2153346
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-129
Street 1715 N COMMERCE ST
City ARDMORE
State OK
ZIP 73401
Phone 580 226-6444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Pharmacy
Lab Director ANTHONY O. NGUYEN

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