37D2158153 CLIA NUMBER - SKINNER FAMILY PRACTICE, LLC

Laboratory Demographics

  • CLIA Code: 37D2158153
  • Facility Name: SKINNER FAMILY PRACTICE, LLC
  • Facility Address: 121 N 3RD AVE, STE C
    PURCELL, OK
    ZIP 73080
  • Facility Phone: 405 641-6628
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TENIA L. SKINNER
  • NPI Number: 1265924872
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2158153
LAB Type Physician Office
Facility Name SKINNER FAMILY PRACTICE, LLC
Street 121 N 3RD AVE, STE C
City PURCELL
State OK
ZIP 73080
Phone 405 641-6628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director TENIA L. SKINNER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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