37D2122226 CLIA NUMBER - EMERGENCY MEDICAL SERVICES OF LEFLORE COUNTY

Laboratory Demographics

CLIA Number: 37D2122226

Facility Name: EMERGENCY MEDICAL SERVICES OF LEFLORE COUNTY

Facility Address:
1215 S BROADWAY
POTEAU, OK
ZIP 74953
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Facility Phone Number: 918 635-3632

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1740379650

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	37D2122226
LAB Type	Ambulance
Facility Name	EMERGENCY MEDICAL SERVICES OF LEFLORE COUNTY
Street	1215 S BROADWAY
City	POTEAU
State	OK
ZIP	74953
Phone	918 635-3632
CertificateType	4
CertificateEffectiveDate	11/22/2022
CertificateExpirationDate	11/21/2024
FacilityType	Waiver

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