37D2090233 CLIA NUMBER - MY DOCTOR

Laboratory Demographics

  • CLIA Code: 37D2090233
  • Facility Name: MY DOCTOR
  • Facility Address: 1 WEST MAIN ST SUITE 100
    IDABEL, OK
    ZIP 74745
  • Facility Phone: 000 580-2861
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: SCOTT M. GRIGORY
  • NPI Number: 1790174993
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 37D2090233
LAB Type Rural Health Clinic
Facility Name MY DOCTOR
Street 1 WEST MAIN ST SUITE 100
City IDABEL
State OK
ZIP 74745
Phone 000 580-2861
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Rural Health Clinic
Lab Director SCOTT M. GRIGORY

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