37D2004203 CLIA NUMBER - ARBUCKLE INTERNAL MEDICINE GROUP, INC

Laboratory Demographics

  • CLIA Code: 37D2004203
  • Facility Name: ARBUCKLE INTERNAL MEDICINE GROUP, INC
  • Facility Address: 921 W 11TH ST, STE 2
    SULPHUR, OK
    ZIP 73086
  • Facility Phone: 580 622-2353
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JONATHAN OHENHEN
  • NPI Number: 1386970200
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2004203
LAB Type Physician Office
Facility Name ARBUCKLE INTERNAL MEDICINE GROUP, INC
Street 921 W 11TH ST, STE 2
City SULPHUR
State OK
ZIP 73086
Phone 580 622-2353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Physician Office
Lab Director DR. JONATHAN OHENHEN

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