37D2153489 CLIA NUMBER - WALMART PHARMACY 10-2734

Laboratory Demographics

  • CLIA Code: 37D2153489
  • Facility Name: WALMART PHARMACY 10-2734
  • Facility Address: 601 12TH AVE NE
    NORMAN, OK
    ZIP 73071
  • Facility Phone: 405 579-5208
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUREN M. GREEN
  • NPI Number: 1316964448
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2153489
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2734
Street 601 12TH AVE NE
City NORMAN
State OK
ZIP 73071
Phone 405 579-5208
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 LAUREN M. GREEN

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