37D2153504 CLIA NUMBER - WALMART PHARMACY 10-2877

Laboratory Demographics

  • CLIA Code: 37D2153504
  • Facility Name: WALMART PHARMACY 10-2877
  • Facility Address: 11101 N ROCKWELL AVE
    OKLAHOMA CITY, OK
    ZIP 73162
  • Facility Phone: 405 773-3478
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL DEAN BOOKER
  • NPI Number: 1225055353
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2153504
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2877
Street 11101 N ROCKWELL AVE
City OKLAHOMA CITY
State OK
ZIP 73162
Phone 405 773-3478
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 MICHAEL DEAN BOOKER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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