37D2153750 CLIA NUMBER - WALMART PHARMACY 10-5863

Laboratory Demographics

  • CLIA Code: 37D2153750
  • Facility Name: WALMART PHARMACY 10-5863
  • Facility Address: 7520 E RENO AVE
    MIDWEST CITY, OK
    ZIP 73110
  • Facility Phone: 405 455-4107
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BENJAMIN C. SANDECKI
  • NPI Number: 1720375959
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2153750
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5863
Street 7520 E RENO AVE
City MIDWEST CITY
State OK
ZIP 73110
Phone 405 455-4107
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 BENJAMIN C. SANDECKI

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