37D2169508 CLIA NUMBER - PRO-CARE FAMILY HEALTH OF OKLAHOMA, LLC

Laboratory Demographics

  • CLIA Code: 37D2169508
  • Facility Name: PRO-CARE FAMILY HEALTH OF OKLAHOMA, LLC
  • Facility Address: 1013 DEWEY AVE
    POTEAU, OK
    ZIP 74953
  • Facility Phone: 919 766-8791
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JAY M. GEHLHAUSEN
  • NPI Number: 1114421260
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 37D2169508
LAB Type Physician Office
Facility Name PRO-CARE FAMILY HEALTH OF OKLAHOMA, LLC
Street 1013 DEWEY AVE
City POTEAU
State OK
ZIP 74953
Phone 919 766-8791
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director JAY M. GEHLHAUSEN

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