37D2049858 CLIA NUMBER - PAWHUSKA HOSPITAL INC NURSING DEPARTMENT

Laboratory Demographics

  • CLIA Code: 37D2049858
  • Facility Name: PAWHUSKA HOSPITAL INC NURSING DEPARTMENT
  • Facility Address: 1101 EAST 15TH STREET
    PAWHUSKA, OK
    ZIP 74056
  • Facility Phone: 918 287-3232
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: LOREN P. QUIRAM
  • NPI Number: 1548768740
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 37D2049858
LAB Type Hospital
Facility Name PAWHUSKA HOSPITAL INC NURSING DEPARTMENT
Street 1101 EAST 15TH STREET
City PAWHUSKA
State OK
ZIP 74056
Phone 918 287-3232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Hospital
Lab Director LOREN P. QUIRAM

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