37D2153704 CLIA NUMBER - WALMART PHARMACY 10-3275

Laboratory Demographics

  • CLIA Code: 37D2153704
  • Facility Name: WALMART PHARMACY 10-3275
  • Facility Address: 1101 NW 164TH ST
    EDMOND, OK
    ZIP 73013
  • Facility Phone: 405 216-8375
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN B. BYFORD
  • NPI Number: 1568481570
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2153704
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3275
Street 1101 NW 164TH ST
City EDMOND
State OK
ZIP 73013
Phone 405 216-8375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Pharmacy
Lab Director JOHN B. BYFORD

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