37D0475032 CLIA NUMBER - CHILDREN'S CLINIC

Laboratory Demographics

  • CLIA Code: 37D0475032
  • Facility Name: CHILDREN'S CLINIC
  • Facility Address: 3101 CHANDLER ROAD, STE 101
    MUSKOGEE, OK
    ZIP 74403
  • Facility Phone: (918) 687-4411
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JERRY D. WHATLEY
  • NPI Number: 1124809918
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 37D0475032
LAB Type Physician Office
Facility Name CHILDREN'S CLINIC
Street 3101 CHANDLER ROAD, STE 101
City MUSKOGEE
State OK
ZIP 74403
Phone 9186874411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Physician Office
Lab Director JERRY D. WHATLEY

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This page was last updated on: 5/18/2026