37D0917371 CLIA NUMBER - RUSH SPRINGS MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 37D0917371
  • Facility Name: RUSH SPRINGS MEDICAL CLINIC
  • Facility Address: 113 SOUTH RUSH AVE
    RUSH SPRINGS, OK
    ZIP 73082
  • Facility Phone: 580 476-2527
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: RON SECOY PAC
  • NPI Number: 1316923709
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 37D0917371
LAB Type Community Clinic
Facility Name RUSH SPRINGS MEDICAL CLINIC
Street 113 SOUTH RUSH AVE
City RUSH SPRINGS
State OK
ZIP 73082
Phone 580 476-2527
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 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Community Clinic
Lab Director RON SECOY PAC

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