37D2153349 CLIA NUMBER - WALMART PHARMACY 10-132

Laboratory Demographics

  • CLIA Code: 37D2153349
  • Facility Name: WALMART PHARMACY 10-132
  • Facility Address: 200 STARLITE DR
    KINGFISHER, OK
    ZIP 73750
  • Facility Phone: 405 375-5747
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICK M. OVERTON
  • NPI Number: 1326065442
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2153349
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-132
Street 200 STARLITE DR
City KINGFISHER
State OK
ZIP 73750
Phone 405 375-5747
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 RICK M. OVERTON

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