37D2028465 CLIA NUMBER - MUSTANG URGENT CARE

Laboratory Demographics

  • CLIA Code: 37D2028465
  • Facility Name: MUSTANG URGENT CARE
  • Facility Address: 115 NORTH MUSTANG ROAD
    MUSTANG, OK
    ZIP 73064
  • Facility Phone: 405 256-5595
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH C. BROOME
  • NPI Number: 1528351780
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2028465
LAB Type Physician Office
Facility Name MUSTANG URGENT CARE
Street 115 NORTH MUSTANG ROAD
City MUSTANG
State OK
ZIP 73064
Phone 405 256-5595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Physician Office
Lab Director JOSEPH C. BROOME

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