37D2154927 CLIA NUMBER - WALMART PHARMACY 10-178

Laboratory Demographics

  • CLIA Code: 37D2154927
  • Facility Name: WALMART PHARMACY 10-178
  • Facility Address: 914 E OKLAHOMA BLVD
    ALVA, OK
    ZIP 73717
  • Facility Phone: (580) 327-4054
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GEOFFREY D. ELLIOTT
  • NPI Number: 1962429084
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2154927
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-178
Street 914 E OKLAHOMA BLVD
City ALVA
State OK
ZIP 73717
Phone 5803274054
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 GEOFFREY D. ELLIOTT

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This page was last updated on: 5/18/2026