37D0989880 CLIA NUMBER - BEN CHEEK DO FAMILY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 37D0989880
  • Facility Name: BEN CHEEK DO FAMILY MEDICAL CLINIC
  • Facility Address: 606 SHANTEL SMITH BLVD
    MULDROW, OK
    ZIP 74948
  • Facility Phone: 918 427-3294
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BEN F. CHEEK
  • NPI Number: 1245648872
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 37D0989880
LAB Type Physician Office
Facility Name BEN CHEEK DO FAMILY MEDICAL CLINIC
Street 606 SHANTEL SMITH BLVD
City MULDROW
State OK
ZIP 74948
Phone 918 427-3294
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Physician Office
Lab Director BEN F. CHEEK

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