37D2105240 CLIA NUMBER - STOVER FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 37D2105240
  • Facility Name: STOVER FAMILY CLINIC
  • Facility Address: 813 VETERANS WAY
    BROKEN BOW, OK
    ZIP 74728
  • Facility Phone: 580 236-5385
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA R. STOVER
  • NPI Number: 1922467505
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2105240
LAB Type Physician Office
Facility Name STOVER FAMILY CLINIC
Street 813 VETERANS WAY
City BROKEN BOW
State OK
ZIP 74728
Phone 580 236-5385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Physician Office
Lab Director REBECCA R. STOVER

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