37D1026762 CLIA NUMBER - MEASE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 37D1026762
  • Facility Name: MEASE MEDICAL CLINIC
  • Facility Address: 659 S 14TH STREET
    JAY, OK
    ZIP 74346
  • Facility Phone: 918 253-6418
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DARRELL R. MEASE
  • NPI Number: 1144303629
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D1026762
LAB Type Community Clinic
Facility Name MEASE MEDICAL CLINIC
Street 659 S 14TH STREET
City JAY
State OK
ZIP 74346
Phone 918 253-6418
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Community Clinic
Lab Director DARRELL R. MEASE

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