37D2071957 CLIA NUMBER - TRI CITY FAMILY CARE

Laboratory Demographics

  • CLIA Code: 37D2071957
  • Facility Name: TRI CITY FAMILY CARE
  • Facility Address: 100 NW 16TH ST
    NEWCASTLE, OK
    ZIP 73065
  • Facility Phone: 405 387-3838
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JERAMIAH L. WALKER
  • NPI Number: 1306212667
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2071957
LAB Type Practitioner Other
Facility Name TRI CITY FAMILY CARE
Street 100 NW 16TH ST
City NEWCASTLE
State OK
ZIP 73065
Phone 405 387-3838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Practitioner Other
Lab Director JERAMIAH L. WALKER

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