37D0989935 CLIA NUMBER - MEMORIAL MEDICAL GROUP, OCCUPATIONAL MEDICINE

Laboratory Demographics

  • CLIA Code: 37D0989935
  • Facility Name: MEMORIAL MEDICAL GROUP, OCCUPATIONAL MEDICINE
  • Facility Address: 3201 W GORE BLVD, SUITE G-1
    LAWTON, OK
    ZIP 73505
  • Facility Phone: 580 355-9675
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: BRIAN M. MEEKS
  • NPI Number: 1053337428
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D0989935
LAB Type Rural Health Clinic
Facility Name MEMORIAL MEDICAL GROUP, OCCUPATIONAL MEDICINE
Street 3201 W GORE BLVD, SUITE G-1
City LAWTON
State OK
ZIP 73505
Phone 580 355-9675
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Rural Health Clinic
Lab Director BRIAN M. MEEKS

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