37D0912517 CLIA NUMBER - FREDERICK MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 37D0912517
  • Facility Name: FREDERICK MEDICAL CLINIC
  • Facility Address: 319 E JOSEPHINE AVENUE
    FREDERICK, OK
    ZIP 73542
  • Facility Phone: 580 335-5720
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TRENTON MEFFORD DO
  • NPI Number: 1164585758
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 37D0912517
LAB Type Physician Office
Facility Name FREDERICK MEDICAL CLINIC
Street 319 E JOSEPHINE AVENUE
City FREDERICK
State OK
ZIP 73542
Phone 580 335-5720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Physician Office
Lab Director TRENTON MEFFORD DO

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