37D2149888 CLIA NUMBER - RACHELLE WILSON, DO LLC

Laboratory Demographics

  • CLIA Code: 37D2149888
  • Facility Name: RACHELLE WILSON, DO LLC
  • Facility Address: 4200 CARRIAGE WAY
    WEATHERFORD, OK
    ZIP 73096
  • Facility Phone: 405 265-2733
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAWN R. WILSON
  • NPI Number: 1679348288
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2149888
LAB Type Physician Office
Facility Name RACHELLE WILSON, DO LLC
Street 4200 CARRIAGE WAY
City WEATHERFORD
State OK
ZIP 73096
Phone 405 265-2733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Physician Office
Lab Director DAWN R. WILSON

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