37D2054740 CLIA NUMBER - DSK MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 37D2054740
  • Facility Name: DSK MEDICAL GROUP
  • Facility Address: 425 FAIRVIEW AVE, BLDG 1
    PONCA CITY, OK
    ZIP 74601
  • Facility Phone: 580 765-6647
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK RIGNEY
  • NPI Number: 1114292596
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2054740
LAB Type Physician Office
Facility Name DSK MEDICAL GROUP
Street 425 FAIRVIEW AVE, BLDG 1
City PONCA CITY
State OK
ZIP 74601
Phone 580 765-6647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director MARK RIGNEY

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