37D2153401 CLIA NUMBER - WALMART PHARMACY 10-2393

Laboratory Demographics

  • CLIA Code: 37D2153401
  • Facility Name: WALMART PHARMACY 10-2393
  • Facility Address: 640 SE 4TH ST
    MOORE, OK
    ZIP 73160
  • Facility Phone: 405 794-3581
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHILIP J. HAMILTON
  • NPI Number: 1215954326
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2153401
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2393
Street 640 SE 4TH ST
City MOORE
State OK
ZIP 73160
Phone 405 794-3581
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 PHILIP J. HAMILTON

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