37D2010069 CLIA NUMBER - JONATHAN RAY LONG, MD, PLLC

Laboratory Demographics

  • CLIA Code: 37D2010069
  • Facility Name: JONATHAN RAY LONG, MD, PLLC
  • Facility Address: 210 E FRANKLIN AVE
    WEATHERFORD, OK
    ZIP 73096
  • Facility Phone: 580 772-5600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JONATHAN R. LONG
  • NPI Number: 1235270638
  • Taxonomy: 2255A2300X - Specialist/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 37D2010069
LAB Type Physician Office
Facility Name JONATHAN RAY LONG, MD, PLLC
Street 210 E FRANKLIN AVE
City WEATHERFORD
State OK
ZIP 73096
Phone 580 772-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director DR. JONATHAN R. LONG

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