37D2153485 CLIA NUMBER - WALMART PHARMACY 10-2395

Laboratory Demographics

  • CLIA Code: 37D2153485
  • Facility Name: WALMART PHARMACY 10-2395
  • Facility Address: 9411 S DELAWARE AVE
    TULSA, OK
    ZIP 74137
  • Facility Phone: 918 299-5764
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURAN J. COBB
  • NPI Number: 1023760188
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 37D2153485
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2395
Street 9411 S DELAWARE AVE
City TULSA
State OK
ZIP 74137
Phone 918 299-5764
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Pharmacy
Lab Director LAURAN J. COBB

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