37D2154931 CLIA NUMBER - WALMART PHARMACY 10-2394

Laboratory Demographics

  • CLIA Code: 37D2154931
  • Facility Name: WALMART PHARMACY 10-2394
  • Facility Address: 1500 SW 59TH ST
    OKLAHOMA CITY, OK
    ZIP 73119
  • Facility Phone: 405 684-9764
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HUNG N. TRAN
  • NPI Number: 1063439107
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2154931
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2394
Street 1500 SW 59TH ST
City OKLAHOMA CITY
State OK
ZIP 73119
Phone 405 684-9764
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 HUNG N. TRAN

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