37D2039019 CLIA NUMBER - LCHC PRIMARY HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 37D2039019
  • Facility Name: LCHC PRIMARY HEALTH CARE CENTER
  • Facility Address: 110 NW 31ST STREET, SUITE 201 ATTENTION KIM HODGES
    LAWTON, OK
    ZIP 73505
  • Facility Phone: 580 585-5549
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IDORENYIN AIKU
  • NPI Number: 1346788296
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2039019
LAB Type Physician Office
Facility Name LCHC PRIMARY HEALTH CARE CENTER
Street 110 NW 31ST STREET, SUITE 201 ATTENTION KIM HODGES
City LAWTON
State OK
ZIP 73505
Phone 580 585-5549
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Physician Office
Lab Director IDORENYIN AIKU

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