37D0923473 CLIA NUMBER - ENID REGIONAL FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 37D0923473
  • Facility Name: ENID REGIONAL FAMILY PRACTICE
  • Facility Address: 2426 WEST OWEN K GARRIOTT
    ENID, OK
    ZIP 73703
  • Facility Phone: 580 233-7600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BOBBY C. KANG
  • NPI Number: 1437378478
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D0923473
LAB Type Physician Office
Facility Name ENID REGIONAL FAMILY PRACTICE
Street 2426 WEST OWEN K GARRIOTT
City ENID
State OK
ZIP 73703
Phone 580 233-7600
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 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Physician Office
Lab Director BOBBY C. KANG

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