37D1042548 CLIA NUMBER - US RENAL CARE SOONER DIALYSIS LAWTON MED PARTNERS, LLC

Laboratory Demographics

CLIA Number: 37D1042548

Facility Name: US RENAL CARE SOONER DIALYSIS LAWTON MED PARTNERS, LLC

Facility Address:
924 SW 38TH ST
LAWTON, OK
ZIP 73505
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Facility Phone Number: 580 351-1716

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1922049782

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 37D1042548
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name US RENAL CARE SOONER DIALYSIS LAWTON MED PARTNERS, LLC
Street 924 SW 38TH ST
City LAWTON
State OK
ZIP 73505
Phone 580 351-1716
CertificateType 4
CertificateEffectiveDate 7/1/2023
CertificateExpirationDate 6/30/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024