37D2020179 CLIA NUMBER - ELGIN COMMUNITY HEALTH CENTER

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Laboratory Demographics

CLIA Number: 37D2020179

Facility Name: ELGIN COMMUNITY HEALTH CENTER

Facility Address:
7936 US HIGHWAY 277
ELGIN, OK
ZIP 73538
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Facility Phone Number: 580 355-8620

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1679882294

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	37D2020179
LAB Type	Federally Qualified Health Center
Facility Name	ELGIN COMMUNITY HEALTH CENTER
Street	7936 US HIGHWAY 277
City	ELGIN
State	OK
ZIP	73538
Phone	580 355-8620
CertificateType	4
CertificateEffectiveDate	4/8/2024
CertificateExpirationDate	4/7/2026
FacilityType	Waiver

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