37D1085836 CLIA NUMBER - EUFAULA (MCINTOSH CNTY) HEALTH AND WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 37D1085836
  • Facility Name: EUFAULA (MCINTOSH CNTY) HEALTH AND WELLNESS CENTER
  • Facility Address: 111 FOREST AVE, SUITE A
    EUFAULA, OK
    ZIP 74432
  • Facility Phone: 918 689-3330
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JENNIFER SCOUFOS
  • NPI Number: 1922091347
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D1085836
LAB Type Federally Qualified Health Center
Facility Name EUFAULA (MCINTOSH CNTY) HEALTH AND WELLNESS CENTER
Street 111 FOREST AVE, SUITE A
City EUFAULA
State OK
ZIP 74432
Phone 918 689-3330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Federally Qualified Health Center
Lab Director JENNIFER SCOUFOS

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