37D2147401 CLIA NUMBER - SOUTHEAST CLINIC EUFAULA URGENT CARE

Laboratory Demographics

  • CLIA Code: 37D2147401
  • Facility Name: SOUTHEAST CLINIC EUFAULA URGENT CARE
  • Facility Address: 111 FORREST AVE, STE B
    EUFAULA, OK
    ZIP 74432
  • Facility Phone: 918 490-7011
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: LAURA M. BLACK-WICKS
  • NPI Number: 1902328727
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2147401
LAB Type Other - URGENT CARE
Facility Name SOUTHEAST CLINIC EUFAULA URGENT CARE
Street 111 FORREST AVE, STE B
City EUFAULA
State OK
ZIP 74432
Phone 918 490-7011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Other - URGENT CARE
Lab Director LAURA M. BLACK-WICKS

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