37D2179235 CLIA NUMBER - AMC MEDICAL CLINIC, LLC

Laboratory Demographics

CLIA Number: 37D2179235

Facility Name: AMC MEDICAL CLINIC, LLC

Facility Address:
218 N MAIN ST
EUFAULA, OK
ZIP 74432
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Facility Phone Number: 573 718-2570

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295368587

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	37D2179235
LAB Type	Physician Office
Facility Name	AMC MEDICAL CLINIC, LLC
Street	218 N MAIN ST
City	EUFAULA
State	OK
ZIP	74432
Phone	573 718-2570
CertificateType	4
CertificateEffectiveDate	2/19/2024
CertificateExpirationDate	2/18/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024