37D0977013 CLIA NUMBER - WICHITA AND AFFILIATED TRIBES DEPARTMENT OF HEALTH

Laboratory Demographics

CLIA Number: 37D0977013

Facility Name: WICHITA AND AFFILIATED TRIBES DEPARTMENT OF HEALTH

Facility Address:
1 1/4 MILES NORTH ON HIGHWAY 281
ANADARKO, OK
ZIP 73005
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Facility Phone Number: 405 247-8658

Facility Type: Health Fair

Certificate Type: Waiver

NPI Number: 1548810534

Taxonomy: 133N00000X - Nutritionist
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

CLIA Record

Field Name	Field Value
CLIA Number	37D0977013
LAB Type	Health Fair
Facility Name	WICHITA AND AFFILIATED TRIBES DEPARTMENT OF HEALTH
Street	1 1/4 MILES NORTH ON HIGHWAY 281
City	ANADARKO
State	OK
ZIP	73005
Phone	405 247-8658
CertificateType	4
CertificateEffectiveDate	8/17/2022
CertificateExpirationDate	8/16/2024
FacilityType	Waiver

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