37D2170368 CLIA NUMBER - SOUTHEAST MEDICAL CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 37D2170368
  • Facility Name: SOUTHEAST MEDICAL CLINIC, LLC
  • Facility Address: 1308 E CARL ALBERT PARKWAY
    MCALESTER, OK
    ZIP 74501
  • Facility Phone: 918 423-7191
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD J. HELTON
  • NPI Number: 1114302692
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 37D2170368
LAB Type Physician Office
Facility Name SOUTHEAST MEDICAL CLINIC, LLC
Street 1308 E CARL ALBERT PARKWAY
City MCALESTER
State OK
ZIP 74501
Phone 918 423-7191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Physician Office
Lab Director RICHARD J. HELTON

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