37D2148168 CLIA NUMBER - SKIATOOK FAMILY CLINIC SDO GROUP LLC

Laboratory Demographics

  • CLIA Code: 37D2148168
  • Facility Name: SKIATOOK FAMILY CLINIC SDO GROUP LLC
  • Facility Address: 201 E 2ND ST
    SKIATOOK, OK
    ZIP 74070
  • Facility Phone: 918 396-1262
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAYNE E. SUBERA
  • NPI Number: 1609081538
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2148168
LAB Type Physician Office
Facility Name SKIATOOK FAMILY CLINIC SDO GROUP LLC
Street 201 E 2ND ST
City SKIATOOK
State OK
ZIP 74070
Phone 918 396-1262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Physician Office
Lab Director LAYNE E. SUBERA

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