37D1062738 CLIA NUMBER - AMC URGENT CARE PLUS

Laboratory Demographics

  • CLIA Code: 37D1062738
  • Facility Name: AMC URGENT CARE PLUS
  • Facility Address: 2101 N 14TH STREET STE 114
    PONCA CITY, OK
    ZIP 74601
  • Facility Phone: 580 762-1552
  • Facility Type: Other
  • Facility Type: Accreditation
  • Lab Director: SAMUEL HAGUE
  • NPI Number: 1285644153
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 37D1062738
LAB Type Other
Facility Name AMC URGENT CARE PLUS
Street 2101 N 14TH STREET STE 114
City PONCA CITY
State OK
ZIP 74601
Phone 580 762-1552
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Other
Lab Director SAMUEL HAGUE

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