37D0470043 CLIA NUMBER - JOHN H TATOM MD

Laboratory Demographics

  • CLIA Code: 37D0470043
  • Facility Name: JOHN H TATOM MD
  • Facility Address: 1113 W BROADWAY
    SULPHUR, OK
    ZIP 73086
  • Facility Phone: 580 622-6644
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN H. TATOM
  • NPI Number: 1073702221
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 37D0470043
LAB Type Physician Office
Facility Name JOHN H TATOM MD
Street 1113 W BROADWAY
City SULPHUR
State OK
ZIP 73086
Phone 580 622-6644
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOHN H. TATOM

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