37D2154294 CLIA NUMBER - WALMART PHARMACY 10-4390

Laboratory Demographics

  • CLIA Code: 37D2154294
  • Facility Name: WALMART PHARMACY 10-4390
  • Facility Address: 1018 N CLEVELAND STREET
    ENID, OK
    ZIP 73703
  • Facility Phone: 580 234-5562
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENNETH C. CRIBLEY
  • NPI Number: 1134146244
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2154294
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4390
Street 1018 N CLEVELAND STREET
City ENID
State OK
ZIP 73703
Phone 580 234-5562
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 KENNETH C. CRIBLEY

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