37D2074068 CLIA NUMBER - CARE ATC OWASSO

Laboratory Demographics

  • CLIA Code: 37D2074068
  • Facility Name: CARE ATC OWASSO
  • Facility Address: 8751 N 117TH E AVE, 'H'
    OWASSO, OK
    ZIP 74055
  • Facility Phone: 918 779-7471
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL STUDDARD
  • NPI Number: 1184178675
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2074068
LAB Type Physician Office
Facility Name CARE ATC OWASSO
Street 8751 N 117TH E AVE, 'H'
City OWASSO
State OK
ZIP 74055
Phone 918 779-7471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director DR. DANIEL STUDDARD

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