37D2155315 CLIA NUMBER - TRAIL CREEK WELLNESS

Laboratory Demographics

  • CLIA Code: 37D2155315
  • Facility Name: TRAIL CREEK WELLNESS
  • Facility Address: 1001 HOSPITAL CIRCLE
    KINGFISHER, OK
    ZIP 73750
  • Facility Phone: (405) 375-7935
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CHARLES B. STANFIELD
  • NPI Number: 1518458272
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2155315
LAB Type Community Clinic
Facility Name TRAIL CREEK WELLNESS
Street 1001 HOSPITAL CIRCLE
City KINGFISHER
State OK
ZIP 73750
Phone 4053757935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Community Clinic
Lab Director CHARLES B. STANFIELD

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This page was last updated on: 5/18/2026