37D2154292 CLIA NUMBER - WALMART PHARMACY 10-2803

Laboratory Demographics

  • CLIA Code: 37D2154292
  • Facility Name: WALMART PHARMACY 10-2803
  • Facility Address: 2200 W DANFORTH RD
    EDMOND, OK
    ZIP 73003
  • Facility Phone: 405 216-0525
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WUTI CHAINAKUL
  • NPI Number: 1285206581
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 37D2154292
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2803
Street 2200 W DANFORTH RD
City EDMOND
State OK
ZIP 73003
Phone 405 216-0525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Pharmacy
Lab Director WUTI CHAINAKUL

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