37D2153746 CLIA NUMBER - WALMART PHARMACY 10-7326

Laboratory Demographics

CLIA Number: 37D2153746

Facility Name: WALMART PHARMACY 10-7326

Facility Address:
3301 SW 104TH STREET
OKLAHOMA CITY, OK
ZIP 73159
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Facility Phone Number: 405 300-6572

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1962950287

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	37D2153746
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-7326
Street	3301 SW 104TH STREET
City	OKLAHOMA CITY
State	OK
ZIP	73159
Phone	405 300-6572
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