37D1030473 CLIA NUMBER - JCMH PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 37D1030473
  • Facility Name: JCMH PEDIATRIC CLINIC
  • Facility Address: 101 S PARK LANE
    ALTUS, OK
    ZIP 73521
  • Facility Phone: 580 379-6100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LINDSEY KING
  • NPI Number: 1407230790
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D1030473
LAB Type Physician Office
Facility Name JCMH PEDIATRIC CLINIC
Street 101 S PARK LANE
City ALTUS
State OK
ZIP 73521
Phone 580 379-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director LINDSEY KING

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