37D2154933 CLIA NUMBER - WALMART PHARMACY 10-5336

Laboratory Demographics

  • CLIA Code: 37D2154933
  • Facility Name: WALMART PHARMACY 10-5336
  • Facility Address: 11020 ELM STREET
    JENKS, OK
    ZIP 74037
  • Facility Phone: 918 209-7016
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA B. DELANA
  • NPI Number: 1376929570
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2154933
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5336
Street 11020 ELM STREET
City JENKS
State OK
ZIP 74037
Phone 918 209-7016
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 AMANDA B. DELANA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025