37D2154293 CLIA NUMBER - WALMART PHARMACY 10-3430

Laboratory Demographics

  • CLIA Code: 37D2154293
  • Facility Name: WALMART PHARMACY 10-3430
  • Facility Address: 9011 NE 23RD ST
    OKLAHOMA CITY, OK
    ZIP 73141
  • Facility Phone: 405 769-3196
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREGORY M. MULLENS
  • NPI Number: 1306864095
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2154293
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3430
Street 9011 NE 23RD ST
City OKLAHOMA CITY
State OK
ZIP 73141
Phone 405 769-3196
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 GREGORY M. MULLENS

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