37D2163065 CLIA NUMBER - ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS, INC

Laboratory Demographics

CLIA Number: 37D2163065

Facility Name: ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS, INC

Facility Address:
607 S BROADWAY
COWETA, OK
ZIP 74429
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Facility Phone Number: 918 483-0111

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1346712072

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	37D2163065
LAB Type	Federally Qualified Health Center
Facility Name	ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS, INC
Street	607 S BROADWAY
City	COWETA
State	OK
ZIP	74429
Phone	918 483-0111
CertificateType	4
CertificateEffectiveDate	3/6/2023
CertificateExpirationDate	3/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024