37D2154924 CLIA NUMBER - WALMART PHARMACY 10-41

Laboratory Demographics

  • CLIA Code: 37D2154924
  • Facility Name: WALMART PHARMACY 10-41
  • Facility Address: 4000 SE GREEN COUNTRY RD
    BARTLESVILLE, OK
    ZIP 74006
  • Facility Phone: 918 333-6910
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACEY NUNEZ
  • NPI Number: 1497772503
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2154924
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-41
Street 4000 SE GREEN COUNTRY RD
City BARTLESVILLE
State OK
ZIP 74006
Phone 918 333-6910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Pharmacy
Lab Director TRACEY NUNEZ

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