37D2154928 CLIA NUMBER - WALMART PHARMACY 10-340

Laboratory Demographics

  • CLIA Code: 37D2154928
  • Facility Name: WALMART PHARMACY 10-340
  • Facility Address: 131 PAUL CARR DR
    CHECOTAH, OK
    ZIP 74426
  • Facility Phone: 918 473-5104
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MORGAN N. HUERTA
  • NPI Number: 1760400428
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2154928
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-340
Street 131 PAUL CARR DR
City CHECOTAH
State OK
ZIP 74426
Phone 918 473-5104
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 MORGAN N. HUERTA

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