37D2173783 CLIA NUMBER - PRIMARY HEALTH PARTNERS-MOORE

Laboratory Demographics

  • CLIA Code: 37D2173783
  • Facility Name: PRIMARY HEALTH PARTNERS-MOORE
  • Facility Address: 1110 MAGNOLIA COURT
    MOORE, OK
    ZIP 73160
  • Facility Phone: 405 877-3128
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAYMOND L. WALL
  • NPI Number: 1477102580
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2173783
LAB Type Physician Office
Facility Name PRIMARY HEALTH PARTNERS-MOORE
Street 1110 MAGNOLIA COURT
City MOORE
State OK
ZIP 73160
Phone 405 877-3128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2023
Certificate Expiration Date 10/17/2025
Facility Type Physician Office
Lab Director RAYMOND L. WALL

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