37D2033678 CLIA NUMBER - COMMUNITY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 37D2033678
  • Facility Name: COMMUNITY MEDICAL CLINIC
  • Facility Address: 1412 FIR STREET
    PERRY, OK
    ZIP 73077
  • Facility Phone: 405 742-5453
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIAN CECIL
  • NPI Number: 1760892921
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2033678
LAB Type Physician Office
Facility Name COMMUNITY MEDICAL CLINIC
Street 1412 FIR STREET
City PERRY
State OK
ZIP 73077
Phone 405 742-5453
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Physician Office
Lab Director JULIAN CECIL

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