37D0669872 CLIA NUMBER - SAPULPA INDIAN HEALTH CENTER

Laboratory Demographics

CLIA Number: 37D0669872

Facility Name: SAPULPA INDIAN HEALTH CENTER

Facility Address:
1125 E CLEVELAND
SAPULPA, OK
ZIP 74066
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Facility Phone Number: 918 224-9310

Facility Type: Community Clinic

Certificate Type: Certificate of Compliance

NPI Number: 1265623037

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	37D0669872
LAB Type	Community Clinic
Facility Name	SAPULPA INDIAN HEALTH CENTER
Street	1125 E CLEVELAND
City	SAPULPA
State	OK
ZIP	74066
Phone	918 224-9310
CertificateType	2
CertificateEffectiveDate	6/7/2022
CertificateExpirationDate	6/6/2024
FacilityType	Compliance

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