37D0693007 CLIA NUMBER - CHARLES R METTRY DO

Laboratory Demographics

  • CLIA Code: 37D0693007
  • Facility Name: CHARLES R METTRY DO
  • Facility Address: 1023 ARLINGTON ST, SUITE A
    ADA, OK
    ZIP 74820
  • Facility Phone: 580 436-4200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHARLES R. METTRY
  • NPI Number: 1245240217
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 37D0693007
LAB Type Physician Office
Facility Name CHARLES R METTRY DO
Street 1023 ARLINGTON ST, SUITE A
City ADA
State OK
ZIP 74820
Phone 580 436-4200
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Physician Office
Lab Director CHARLES R. METTRY

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