37D1009864 CLIA NUMBER - FAMILY MEDICAL CLINIC LEFLORE COUNTY HOSPITAL AUTHORITY

Laboratory Demographics

  • CLIA Code: 37D1009864
  • Facility Name: FAMILY MEDICAL CLINIC LEFLORE COUNTY HOSPITAL AUTHORITY
  • Facility Address: 104 WALL STREET
    POTEAU, OK
    ZIP 74953
  • Facility Phone: 918 647-8635
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BETH HITES
  • NPI Number: 1043265895
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D1009864
LAB Type Physician Office
Facility Name FAMILY MEDICAL CLINIC LEFLORE COUNTY HOSPITAL AUTHORITY
Street 104 WALL STREET
City POTEAU
State OK
ZIP 74953
Phone 918 647-8635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director BETH HITES

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