37D2047832 CLIA NUMBER - GROVE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 37D2047832
  • Facility Name: GROVE FAMILY PRACTICE
  • Facility Address: 900 E 13TH STREET, SUITE 101
    GROVE, OK
    ZIP 74344
  • Facility Phone: (918) 786-9009
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VITALIY KRYLOV

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CLIA Record

Field Name Field Value
CLIA Number 37D2047832
LAB Type Physician Office
Facility Name GROVE FAMILY PRACTICE
Street 900 E 13TH STREET, SUITE 101
City GROVE
State OK
ZIP 74344
Phone 9187869009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Physician Office
Lab Director VITALIY KRYLOV

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This page was last updated on: 5/18/2026