37D2143662 CLIA NUMBER - FARMER FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 37D2143662
  • Facility Name: FARMER FAMILY PRACTICE
  • Facility Address: 1202 W CHEROKEE SUITE G
    WAGONER, OK
    ZIP 74467
  • Facility Phone: 918 485-7020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER A. FARMER
  • NPI Number: 1487168092
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2143662
LAB Type Physician Office
Facility Name FARMER FAMILY PRACTICE
Street 1202 W CHEROKEE SUITE G
City WAGONER
State OK
ZIP 74467
Phone 918 485-7020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Physician Office
Lab Director JENNIFER A. FARMER

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