37D2120375 CLIA NUMBER - MOORE CARE LLC

Laboratory Demographics

  • CLIA Code: 37D2120375
  • Facility Name: MOORE CARE LLC
  • Facility Address: 507 NE 12TH
    MOORE, OK
    ZIP 73160
  • Facility Phone: 405 237-9955
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JESSICA C. DEPPEN
  • NPI Number: 1104379148
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2120375
LAB Type Practitioner Other
Facility Name MOORE CARE LLC
Street 507 NE 12TH
City MOORE
State OK
ZIP 73160
Phone 405 237-9955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Practitioner Other
Lab Director JESSICA C. DEPPEN

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