37D0949519 CLIA NUMBER - PHYSICIANS CLINIC

Laboratory Demographics

CLIA Number: 37D0949519

Facility Name: PHYSICIANS CLINIC

Facility Address:
1401 WEST LOCUST SUITE 102
STILWELL, OK
ZIP 74960
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Facility Phone Number: 918 696-4065

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1710048996

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	37D0949519
LAB Type	Physician Office
Facility Name	PHYSICIANS CLINIC
Street	1401 WEST LOCUST SUITE 102
City	STILWELL
State	OK
ZIP	74960
Phone	918 696-4065
CertificateType	4
CertificateEffectiveDate	12/23/2022
CertificateExpirationDate	12/22/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024