37D0989460 CLIA NUMBER - UTICA PARK CLINIC-CUSHING MEDICAL SPECIALISTS

Laboratory Demographics

  • CLIA Code: 37D0989460
  • Facility Name: UTICA PARK CLINIC-CUSHING MEDICAL SPECIALISTS
  • Facility Address: 1025 EAST SECOND STREET
    CUSHING, OK
    ZIP 74023
  • Facility Phone: 918 225-3627
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER SORRELS
  • NPI Number: 1922683051
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D0989460
LAB Type Physician Office
Facility Name UTICA PARK CLINIC-CUSHING MEDICAL SPECIALISTS
Street 1025 EAST SECOND STREET
City CUSHING
State OK
ZIP 74023
Phone 918 225-3627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Physician Office
Lab Director DR. CHRISTOPHER SORRELS

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