37D2154258 CLIA NUMBER - WALMART PHARMACY 10-28

Laboratory Demographics

  • CLIA Code: 37D2154258
  • Facility Name: WALMART PHARMACY 10-28
  • Facility Address: 2415 N MAIN ST
    MIAMI, OK
    ZIP 74354
  • Facility Phone: 918 542-8429
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAMERON BURNS
  • NPI Number: 1851318976
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2154258
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-28
Street 2415 N MAIN ST
City MIAMI
State OK
ZIP 74354
Phone 918 542-8429
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Pharmacy
Lab Director CAMERON BURNS

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