37D1065635 CLIA NUMBER - CENTENNIAL NATIONAL FAMILY MEDICAL ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 37D1065635
  • Facility Name: CENTENNIAL NATIONAL FAMILY MEDICAL ASSOCIATES, LLC
  • Facility Address: 817 S ELM PLACE, STE A
    BROKEN ARROW, OK
    ZIP 74012
  • Facility Phone: 918 251-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL A. STEGMAN
  • NPI Number: 1376585034
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D1065635
LAB Type Physician Office
Facility Name CENTENNIAL NATIONAL FAMILY MEDICAL ASSOCIATES, LLC
Street 817 S ELM PLACE, STE A
City BROKEN ARROW
State OK
ZIP 74012
Phone 918 251-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Physician Office
Lab Director DANIEL A. STEGMAN

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