37D2020906 CLIA NUMBER - TOTAL HEALTHCARE CLINIC PC

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Laboratory Demographics

CLIA Number: 37D2020906

Facility Name: TOTAL HEALTHCARE CLINIC PC

Facility Address:
10001 SOUTH PENN, BLDG P, STE 170
OKLAHOMA CITY, OK
ZIP 73159
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Facility Phone Number: 405 681-2273

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1649334137

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	37D2020906
LAB Type	Physician Office
Facility Name	TOTAL HEALTHCARE CLINIC PC
Street	10001 SOUTH PENN, BLDG P, STE 170
City	OKLAHOMA CITY
State	OK
ZIP	73159
Phone	405 681-2273
CertificateType	4
CertificateEffectiveDate	3/2/2023
CertificateExpirationDate	3/1/2025
FacilityType	Waiver

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