37D1102843 CLIA NUMBER - BLUTH FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 37D1102843

Facility Name: BLUTH FAMILY MEDICINE

Facility Address:
1315 N WASHINGTON ST
WEATHERFORD, OK
ZIP 73096
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Facility Phone Number: 580 772-2344

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487883112

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	37D1102843
LAB Type	Physician Office
Facility Name	BLUTH FAMILY MEDICINE
Street	1315 N WASHINGTON ST
City	WEATHERFORD
State	OK
ZIP	73096
Phone	580 772-2344
CertificateType	4
CertificateEffectiveDate	7/27/2023
CertificateExpirationDate	7/26/2025
FacilityType	Waiver

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