37D1067992 CLIA NUMBER - CROUCH FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 37D1067992
  • Facility Name: CROUCH FAMILY MEDICINE
  • Facility Address: 806 MANVEL AVE
    CHANDLER, OK
    ZIP 74834
  • Facility Phone: 405 258-9955
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON M. CROUCH, DO
  • NPI Number: 1609093228
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D1067992
LAB Type Physician Office
Facility Name CROUCH FAMILY MEDICINE
Street 806 MANVEL AVE
City CHANDLER
State OK
ZIP 74834
Phone 405 258-9955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Physician Office
Lab Director JASON M. CROUCH, DO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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