37D2123749 CLIA NUMBER - TEXOMACARE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 37D2123749
  • Facility Name: TEXOMACARE FAMILY MEDICINE
  • Facility Address: 698 WESTSIDE DR, SUITE 110
    DURANT, OK
    ZIP 74701
  • Facility Phone: 580 920-1922
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONICA WOODALL
  • NPI Number: 1033142039
  • Taxonomy: 246XS1301X - Specialist/Technologist Cardiovascular

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CLIA Record

Field Name Field Value
CLIA Number 37D2123749
LAB Type Physician Office
Facility Name TEXOMACARE FAMILY MEDICINE
Street 698 WESTSIDE DR, SUITE 110
City DURANT
State OK
ZIP 74701
Phone 580 920-1922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Physician Office
Lab Director MONICA WOODALL

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