37D1002120 CLIA NUMBER - CAVANAL MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 37D1002120
  • Facility Name: CAVANAL MEDICAL CLINIC
  • Facility Address: 104 SOUTH EAST BLVD
    POTEAU, OK
    ZIP 74953
  • Facility Phone: 918 635-3440
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: BETH E. HITES
  • NPI Number: 1578026571
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D1002120
LAB Type Rural Health Clinic
Facility Name CAVANAL MEDICAL CLINIC
Street 104 SOUTH EAST BLVD
City POTEAU
State OK
ZIP 74953
Phone 918 635-3440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Rural Health Clinic
Lab Director BETH E. HITES

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