37D0987475 CLIA NUMBER - ALLIANCE HEALTH MADILL CLINIC

Laboratory Demographics

  • CLIA Code: 37D0987475
  • Facility Name: ALLIANCE HEALTH MADILL CLINIC
  • Facility Address: 907 HOSPITAL DRIVE
    MADILL, OK
    ZIP 73446
  • Facility Phone: 580 795-0191
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN GORDON
  • NPI Number: 1992246565
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D0987475
LAB Type Physician Office
Facility Name ALLIANCE HEALTH MADILL CLINIC
Street 907 HOSPITAL DRIVE
City MADILL
State OK
ZIP 73446
Phone 580 795-0191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Physician Office
Lab Director KEVIN GORDON

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