37D0869728 CLIA NUMBER - MCCLAIN GRADY COUNTY EMS

Laboratory Demographics

CLIA Number: 37D0869728

Facility Name: MCCLAIN GRADY COUNTY EMS

Facility Address:
211 W BLANCHARD DRIVE
BLANCHARD, OK
ZIP 73010
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Facility Phone Number: 405 485-2000

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1699880765

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	37D0869728
LAB Type	Ambulance
Facility Name	MCCLAIN GRADY COUNTY EMS
Street	211 W BLANCHARD DRIVE
City	BLANCHARD
State	OK
ZIP	73010
Phone	405 485-2000
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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