37D2144015 CLIA NUMBER - PAWHUSKA FAMILY MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 37D2144015

Facility Name: PAWHUSKA FAMILY MEDICAL CLINIC

Facility Address:
1109 E 15TH ST
PAWHUSKA, OK
ZIP 74056
Get Directions

Facility Phone Number: 918 287-3232

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1700977808

Taxonomy: 261QP0904X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	37D2144015
LAB Type	Rural Health Clinic
Facility Name	PAWHUSKA FAMILY MEDICAL CLINIC
Street	1109 E 15TH ST
City	PAWHUSKA
State	OK
ZIP	74056
Phone	918 287-3232
CertificateType	4
CertificateEffectiveDate	2/9/2024
CertificateExpirationDate	2/8/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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