37D2178805 CLIA NUMBER - FAIRFAX RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 37D2178805
  • Facility Name: FAIRFAX RURAL HEALTH CLINIC
  • Facility Address: 40 HOSPITAL RD
    FAIRFAX, OK
    ZIP 74637
  • Facility Phone: 918 642-8827
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: GENE H. EVANS
  • NPI Number: 1306145339
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2178805
LAB Type Rural Health Clinic
Facility Name FAIRFAX RURAL HEALTH CLINIC
Street 40 HOSPITAL RD
City FAIRFAX
State OK
ZIP 74637
Phone 918 642-8827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Rural Health Clinic
Lab Director GENE H. EVANS

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