37D2153371 CLIA NUMBER - WALMART PHARMACY 10-392

Laboratory Demographics

  • CLIA Code: 37D2153371
  • Facility Name: WALMART PHARMACY 10-392
  • Facility Address: 1349 E EAGLE RD
    WEATHERFORD, OK
    ZIP 73096
  • Facility Phone: 580 772-2712
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNIE R. ELLIS
  • NPI Number: 1326065459
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2153371
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-392
Street 1349 E EAGLE RD
City WEATHERFORD
State OK
ZIP 73096
Phone 580 772-2712
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 ANNIE R. ELLIS

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