37D0473285 CLIA NUMBER - GREEN COUNTRY MEDICAL, INC

Laboratory Demographics

CLIA Number: 37D0473285

Facility Name: GREEN COUNTRY MEDICAL, INC

Facility Address:
712 E OSAGE
NOWATA, OK
ZIP 74048
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Facility Phone Number: 918 273-0140

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1609998194

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	37D0473285
LAB Type	Physician Office
Facility Name	GREEN COUNTRY MEDICAL, INC
Street	712 E OSAGE
City	NOWATA
State	OK
ZIP	74048
Phone	918 273-0140
CertificateType	3
CertificateEffectiveDate	4/15/2024
CertificateExpirationDate	4/14/2026
FacilityType	PPMP

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