37D2083584 CLIA NUMBER - GRAND MENTAL HEALTH

Home > CLIA Lookup > 37D2083584

Laboratory Demographics

CLIA Number: 37D2083584

Facility Name: GRAND MENTAL HEALTH

Facility Address:
700 SW PENN
BARTLESVILLE, OK
ZIP 74003
Get Directions

Facility Phone Number: 918 273-1841

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386284222

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	37D2083584
LAB Type	Physician Office
Facility Name	GRAND MENTAL HEALTH
Street	700 SW PENN
City	BARTLESVILLE
State	OK
ZIP	74003
Phone	918 273-1841
CertificateType	4
CertificateEffectiveDate	9/9/2022
CertificateExpirationDate	9/8/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024