37D2153354 CLIA NUMBER - WALMART PHARMACY 10-231

Laboratory Demographics

  • CLIA Code: 37D2153354
  • Facility Name: WALMART PHARMACY 10-231
  • Facility Address: 1419 N COUNTRY CLUB RD
    ADA, OK
    ZIP 74820
  • Facility Phone: 580 332-4755
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN E. SUTRICK
  • NPI Number: 1679590772
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2153354
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-231
Street 1419 N COUNTRY CLUB RD
City ADA
State OK
ZIP 74820
Phone 580 332-4755
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 JOHN E. SUTRICK

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