37D2135933 CLIA NUMBER - QUICKCARE APRN-CNP, LLC

Laboratory Demographics

CLIA Number: 37D2135933

Facility Name: QUICKCARE APRN-CNP, LLC

Facility Address:
709 BETTER NOW PLAZA
ADA, OK
ZIP 74820
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Facility Phone Number: 580 310-9899

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1891222030

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	37D2135933
LAB Type	Other - URGENT CARE
Facility Name	QUICKCARE APRN-CNP, LLC
Street	709 BETTER NOW PLAZA
City	ADA
State	OK
ZIP	74820
Phone	580 310-9899
CertificateType	4
CertificateEffectiveDate	8/30/2023
CertificateExpirationDate	8/29/2025
FacilityType	Waiver

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