37D2153358 CLIA NUMBER - WALMART PHARMACY 10-276

Laboratory Demographics

  • CLIA Code: 37D2153358
  • Facility Name: WALMART PHARMACY 10-276
  • Facility Address: 1312 E MAIN ST
    STIGLER, OK
    ZIP 74462
  • Facility Phone: 918 967-3369
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOLLY R. BLACK
  • NPI Number: 1275556342
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2153358
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-276
Street 1312 E MAIN ST
City STIGLER
State OK
ZIP 74462
Phone 918 967-3369
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 MOLLY R. BLACK

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