37D2154296 CLIA NUMBER - WALMART PHARMACY 10-5286

Laboratory Demographics

  • CLIA Code: 37D2154296
  • Facility Name: WALMART PHARMACY 10-5286
  • Facility Address: 9320 N PENNSYLVANIA PL
    VILLAGE, OK
    ZIP 73120
  • Facility Phone: 405 840-2105
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRADLEY A. SABLATURA
  • NPI Number: 1689692378
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2154296
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5286
Street 9320 N PENNSYLVANIA PL
City VILLAGE
State OK
ZIP 73120
Phone 405 840-2105
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 BRADLEY A. SABLATURA

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