37D0975740 CLIA NUMBER - MARK MANN MD

Laboratory Demographics

  • CLIA Code: 37D0975740
  • Facility Name: MARK MANN MD
  • Facility Address: 90 N 30TH
    CLINTON, OK
    ZIP 73601
  • Facility Phone: 580 323-0232
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK B. MANN MD
  • NPI Number: 1184649584
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D0975740
LAB Type Physician Office
Facility Name MARK MANN MD
Street 90 N 30TH
City CLINTON
State OK
ZIP 73601
Phone 580 323-0232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director MARK B. MANN MD

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