37D2151673 CLIA NUMBER - HOMETOWN URGENT CARE

Laboratory Demographics

CLIA Number: 37D2151673

Facility Name: HOMETOWN URGENT CARE

Facility Address:
731 EAST STATE HIGHWAY 152
MUSTANG, OK
ZIP 73064
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Facility Phone Number: 405 324-5566

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326544875

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	37D2151673
LAB Type	Physician Office
Facility Name	HOMETOWN URGENT CARE
Street	731 EAST STATE HIGHWAY 152
City	MUSTANG
State	OK
ZIP	73064
Phone	405 324-5566
CertificateType	4
CertificateEffectiveDate	7/24/2022
CertificateExpirationDate	7/23/2024
FacilityType	Waiver

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