37D0671824 CLIA NUMBER - ROSS C HENSLEY MD, INC

Laboratory Demographics

  • CLIA Code: 37D0671824
  • Facility Name: ROSS C HENSLEY MD, INC
  • Facility Address: 4417 WEST GORE BLVD, SUITE 7
    LAWTON, OK
    ZIP 73505
  • Facility Phone: 580 248-7500
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ROSS C. HENSLEY
  • NPI Number: 1609879899
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 37D0671824
LAB Type Physician Office
Facility Name ROSS C HENSLEY MD, INC
Street 4417 WEST GORE BLVD, SUITE 7
City LAWTON
State OK
ZIP 73505
Phone 580 248-7500
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type Physician Office
Lab Director ROSS C. HENSLEY

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