37D2010070 CLIA NUMBER - ARBUCKLE CLINIC AT SULPHUR

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Laboratory Demographics

CLIA Number: 37D2010070

Facility Name: ARBUCKLE CLINIC AT SULPHUR

Facility Address:
2007 WEST BROADWAY
SULPHUR, OK
ZIP 73086
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Facility Phone Number: 580 622-6151

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1013215839

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	37D2010070
LAB Type	Rural Health Clinic
Facility Name	ARBUCKLE CLINIC AT SULPHUR
Street	2007 WEST BROADWAY
City	SULPHUR
State	OK
ZIP	73086
Phone	580 622-6151
CertificateType	4
CertificateEffectiveDate	9/12/2022
CertificateExpirationDate	9/11/2024
FacilityType	Waiver

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