37D0050835 CLIA NUMBER - WAH-ZHA-ZHI HEALTH CENTER

Laboratory Demographics

CLIA Number: 37D0050835

Facility Name: WAH-ZHA-ZHI HEALTH CENTER

Facility Address:
715 GRANDVIEW ATTN CLARISSA WILEY
PAWHUSKA, OK
ZIP 74056
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Facility Phone Number: 918 287-9300

Facility Type: Community Clinic

Certificate Type: Certificate of Compliance

NPI Number: 1902272826

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	37D0050835
LAB Type	Community Clinic
Facility Name	WAH-ZHA-ZHI HEALTH CENTER
Street	715 GRANDVIEW ATTN CLARISSA WILEY
City	PAWHUSKA
State	OK
ZIP	74056
Phone	918 287-9300
CertificateType	2
CertificateEffectiveDate	2/16/2023
CertificateExpirationDate	2/15/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024