37D2153347 CLIA NUMBER - WALMART PHARMACY 10-130

Laboratory Demographics

  • CLIA Code: 37D2153347
  • Facility Name: WALMART PHARMACY 10-130
  • Facility Address: 1000 W SHAWNEE ST
    MUSKOGEE, OK
    ZIP 74401
  • Facility Phone: 918 687-1231
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY E. COWLEY
  • NPI Number: 1407873524
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2153347
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-130
Street 1000 W SHAWNEE ST
City MUSKOGEE
State OK
ZIP 74401
Phone 918 687-1231
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 ASHLEY E. COWLEY

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