37D0901496 CLIA NUMBER - WHITE EAGLE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 37D0901496
  • Facility Name: WHITE EAGLE HEALTH CENTER
  • Facility Address: 200 WHITE EAGLE DRIVE
    PONCA CITY, OK
    ZIP 74601
  • Facility Phone: 580 765-2501
  • Facility Type: Other - TRIBAL HEALTH CENTER
  • Facility Type: Certificate of Compliance
  • Lab Director: RITA J. ARCHER
  • NPI Number: 1649623620
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D0901496
LAB Type Other - TRIBAL HEALTH CENTER
Facility Name WHITE EAGLE HEALTH CENTER
Street 200 WHITE EAGLE DRIVE
City PONCA CITY
State OK
ZIP 74601
Phone 580 765-2501
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 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Other - TRIBAL HEALTH CENTER
Lab Director RITA J. ARCHER

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