37D2153369 CLIA NUMBER - WALMART PHARMACY 10-387

Laboratory Demographics

  • CLIA Code: 37D2153369
  • Facility Name: WALMART PHARMACY 10-387
  • Facility Address: 3100 E 1ST ST
    CHANDLER, OK
    ZIP 74834
  • Facility Phone: 405 258-2012
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEVIN C. LOWE
  • NPI Number: 1871510909
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2153369
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-387
Street 3100 E 1ST ST
City CHANDLER
State OK
ZIP 74834
Phone 405 258-2012
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 DEVIN C. LOWE

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