37D2151723 CLIA NUMBER - CORNER CLINIC APRN-CNP, PLLC, THE

Laboratory Demographics

CLIA Number: 37D2151723

Facility Name: CORNER CLINIC APRN-CNP, PLLC, THE

Facility Address:
201 N HINCKLEY
HOLDENVILLE, OK
ZIP 74848
Get Directions

Facility Phone Number: 405 712-5080

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1790276160

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	37D2151723
LAB Type	Practitioner Other
Facility Name	CORNER CLINIC APRN-CNP, PLLC, THE
Street	201 N HINCKLEY
City	HOLDENVILLE
State	OK
ZIP	74848
Phone	405 712-5080
CertificateType	4
CertificateEffectiveDate	7/26/2022
CertificateExpirationDate	7/25/2024
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