37D1039989 CLIA NUMBER - JENKS FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 37D1039989
  • Facility Name: JENKS FAMILY PHYSICIANS
  • Facility Address: 615 EAST MAIN
    JENKS, OK
    ZIP 74037
  • Facility Phone: 918 299-8080
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRIAN H. LEWIS
  • NPI Number: 1992970594
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D1039989
LAB Type Physician Office
Facility Name JENKS FAMILY PHYSICIANS
Street 615 EAST MAIN
City JENKS
State OK
ZIP 74037
Phone 918 299-8080
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Physician Office
Lab Director BRIAN H. LEWIS

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