37D0669927 CLIA NUMBER - ROWLAND-ELLIS-FLATT CLINIC

Laboratory Demographics

CLIA Number: 37D0669927

Facility Name: ROWLAND-ELLIS-FLATT CLINIC

Facility Address:
1201 E JACKSON STREET
HUGO, OK
ZIP 74743
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Facility Phone Number: 580 326-6423

Facility Type: Practitioner Other

Certificate Type: Accreditation

NPI Number: 1548251978

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	37D0669927
LAB Type	Practitioner Other
Facility Name	ROWLAND-ELLIS-FLATT CLINIC
Street	1201 E JACKSON STREET
City	HUGO
State	OK
ZIP	74743
Phone	580 326-6423
CertificateType	1
CertificateEffectiveDate	12/23/2023
CertificateExpirationDate	12/22/2025
FacilityType	Accreditation

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