37D1103235 CLIA NUMBER - DENG FAMILY MEDICINE & CAREU

Laboratory Demographics

CLIA Number: 37D1103235

Facility Name: DENG FAMILY MEDICINE & CAREU

Facility Address:
8900 SE 15TH ST
MIDWEST CITY, OK
ZIP 73110
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Facility Phone Number: 405 737-3278

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Certificate of Compliance

NPI Number: 1790937803

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	37D1103235
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	DENG FAMILY MEDICINE & CAREU
Street	8900 SE 15TH ST
City	MIDWEST CITY
State	OK
ZIP	73110
Phone	405 737-3278
CertificateType	2
CertificateEffectiveDate	4/8/2024
CertificateExpirationDate	4/7/2026
FacilityType	Compliance

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