37D2154282 CLIA NUMBER - WALMART PHARMACY 10-3508

Laboratory Demographics

  • CLIA Code: 37D2154282
  • Facility Name: WALMART PHARMACY 10-3508
  • Facility Address: 1770 S ELM PL
    BROKEN ARROW, OK
    ZIP 74012
  • Facility Phone: 918 258-6185
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KARA J. CRANE
  • NPI Number: 1043237167
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2154282
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3508
Street 1770 S ELM PL
City BROKEN ARROW
State OK
ZIP 74012
Phone 918 258-6185
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 KARA J. CRANE

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