37D2082356 CLIA NUMBER - XYZ MEDICAL, LLC

Laboratory Demographics

  • CLIA Code: 37D2082356
  • Facility Name: XYZ MEDICAL, LLC
  • Facility Address: 104 W OHIO ST, STE 200
    COALGATE, OK
    ZIP 74538
  • Facility Phone: 580 258-2026
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: RICHARD HELTON
  • NPI Number: 1457769473
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 37D2082356
LAB Type Independent
Facility Name XYZ MEDICAL, LLC
Street 104 W OHIO ST, STE 200
City COALGATE
State OK
ZIP 74538
Phone 580 258-2026
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Independent
Lab Director RICHARD HELTON

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