37D0914424 CLIA NUMBER - VINITA SURGERY AND FAMILY MEDICAL CLIN IC

Laboratory Demographics

  • CLIA Code: 37D0914424
  • Facility Name: VINITA SURGERY AND FAMILY MEDICAL CLIN IC
  • Facility Address: 428 S WILSON
    VINITA, OK
    ZIP 74301
  • Facility Phone: 918 256-5021
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CURTIS A. PHILLIPS
  • NPI Number: 1518276252
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 37D0914424
LAB Type Physician Office
Facility Name VINITA SURGERY AND FAMILY MEDICAL CLIN IC
Street 428 S WILSON
City VINITA
State OK
ZIP 74301
Phone 918 256-5021
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 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director CURTIS A. PHILLIPS

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