37D0936941 CLIA NUMBER - JCMH FAMILY CARE CLINIC

Laboratory Demographics

  • CLIA Code: 37D0936941
  • Facility Name: JCMH FAMILY CARE CLINIC
  • Facility Address: 114 S LOUIS TITTLE
    MANGUM, OK
    ZIP 73554
  • Facility Phone: 580 782-3393
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JOHN TRAN
  • NPI Number: 1093199382
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D0936941
LAB Type Rural Health Clinic
Facility Name JCMH FAMILY CARE CLINIC
Street 114 S LOUIS TITTLE
City MANGUM
State OK
ZIP 73554
Phone 580 782-3393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Rural Health Clinic
Lab Director JOHN TRAN

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