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

Laboratory Demographics

  • CLIA Code: 37D2151723
  • Facility Name: CORNER CLINIC APRN-CNP, PLLC, THE
  • Facility Address: 201 N HINCKLEY
    HOLDENVILLE, OK
    ZIP 74848
  • Facility Phone: 405 712-5080
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STEPHANIE N. KEESEE
  • NPI Number: 1790276160
  • Taxonomy: 261Q00000X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Practitioner Other
Lab Director STEPHANIE N. KEESEE

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