37D2002615 CLIA NUMBER - MCINTOSH COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 37D2002615
  • Facility Name: MCINTOSH COUNTY DIALYSIS
  • Facility Address: 480 EUNICE BURNS RD
    EUFAULA, OK
    ZIP 74432
  • Facility Phone: 918 689-7919
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ISMAIL ALMOKYAD
  • NPI Number: 1386105997
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2002615
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MCINTOSH COUNTY DIALYSIS
Street 480 EUNICE BURNS RD
City EUFAULA
State OK
ZIP 74432
Phone 918 689-7919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ISMAIL ALMOKYAD

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