37D2153705 CLIA NUMBER - WALMART PHARMACY 10-3295

Laboratory Demographics

CLIA Number: 37D2153705

Facility Name: WALMART PHARMACY 10-3295

Facility Address:
6310 S ELM PL
BROKEN ARROW, OK
ZIP 74011
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Facility Phone Number: 918 455-4386

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1437828522

Taxonomy: 332H00000X - Eyewear Supplier
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

CLIA Record

Field Name	Field Value
CLIA Number	37D2153705
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-3295
Street	6310 S ELM PL
City	BROKEN ARROW
State	OK
ZIP	74011
Phone	918 455-4386
CertificateType	4
CertificateEffectiveDate	8/29/2022
CertificateExpirationDate	8/28/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024