37D2160597 CLIA NUMBER - KRYSTAL D FLETCHER APRN-CNP FAMILY PLLC

Laboratory Demographics

  • CLIA Code: 37D2160597
  • Facility Name: KRYSTAL D FLETCHER APRN-CNP FAMILY PLLC
  • Facility Address: 203 S MAIN ST
    LUTHER, OK
    ZIP 73054
  • Facility Phone: 405 413-0530
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KRYSTAL D. FLETCHER
  • NPI Number: 1669998027
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 37D2160597
LAB Type Practitioner Other
Facility Name KRYSTAL D FLETCHER APRN-CNP FAMILY PLLC
Street 203 S MAIN ST
City LUTHER
State OK
ZIP 73054
Phone 405 413-0530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Practitioner Other
Lab Director KRYSTAL D. FLETCHER

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