37D0472122 CLIA NUMBER - MEMORIAL MEDICAL GROUP OBSTETRICS AND GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 37D0472122
  • Facility Name: MEMORIAL MEDICAL GROUP OBSTETRICS AND GYNECOLOGY
  • Facility Address: 102 NW 31ST STREET
    LAWTON, OK
    ZIP 73505
  • Facility Phone: 580 353-6790
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAROL A. LENNON
  • NPI Number: 1346266731
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D0472122
LAB Type Physician Office
Facility Name MEMORIAL MEDICAL GROUP OBSTETRICS AND GYNECOLOGY
Street 102 NW 31ST STREET
City LAWTON
State OK
ZIP 73505
Phone 580 353-6790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director CAROL A. LENNON

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