37D1036483 CLIA NUMBER - JOHN W HOLDEN MD PC

Laboratory Demographics

  • CLIA Code: 37D1036483
  • Facility Name: JOHN W HOLDEN MD PC
  • Facility Address: 427 FAIRVIEW AVE
    PONCA CITY, OK
    ZIP 74601
  • Facility Phone: 580 765-9299
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN W. HOLDEN
  • NPI Number: 1427034792
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D1036483
LAB Type Physician Office
Facility Name JOHN W HOLDEN MD PC
Street 427 FAIRVIEW AVE
City PONCA CITY
State OK
ZIP 74601
Phone 580 765-9299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Physician Office
Lab Director JOHN W. HOLDEN

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