37D0472077 CLIA NUMBER - LCHC FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 37D0472077
  • Facility Name: LCHC FAMILY HEALTH CENTER
  • Facility Address: 3201 W GORE BLVD, STE 301
    LAWTON, OK
    ZIP 73505
  • Facility Phone: 580 355-8626
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: RENATO M. CABALLERO
  • NPI Number: 1245254705
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D0472077
LAB Type Federally Qualified Health Center
Facility Name LCHC FAMILY HEALTH CENTER
Street 3201 W GORE BLVD, STE 301
City LAWTON
State OK
ZIP 73505
Phone 580 355-8626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2023
Certificate Expiration Date 10/14/2025
Facility Type Federally Qualified Health Center
Lab Director RENATO M. CABALLERO

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