37D1020092 CLIA NUMBER - JAISWAL CLINIC

Laboratory Demographics

  • CLIA Code: 37D1020092
  • Facility Name: JAISWAL CLINIC
  • Facility Address: 702 BRYAN DRIVE STE 100
    DURANT, OK
    ZIP 74701
  • Facility Phone: 580 924-4704
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEEPAK S. JAISWAL MD
  • NPI Number: 1225296361
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D1020092
LAB Type Physician Office
Facility Name JAISWAL CLINIC
Street 702 BRYAN DRIVE STE 100
City DURANT
State OK
ZIP 74701
Phone 580 924-4704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Physician Office
Lab Director DEEPAK S. JAISWAL MD

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