37D2179057 CLIA NUMBER - ELGIN FAMILY CARE

Laboratory Demographics

  • CLIA Code: 37D2179057
  • Facility Name: ELGIN FAMILY CARE
  • Facility Address: 8148 STATE HWY 17
    ELGIN, OK
    ZIP 73538
  • Facility Phone: 580 454-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA MITHLO
  • NPI Number: 1285816702
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2179057
LAB Type Physician Office
Facility Name ELGIN FAMILY CARE
Street 8148 STATE HWY 17
City ELGIN
State OK
ZIP 73538
Phone 580 454-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Physician Office
Lab Director MARIA MITHLO

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