37D2180415 CLIA NUMBER - XPRESS WELLNESS URGENT CARE WILLIAMS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 37D2180415
  • Facility Name: XPRESS WELLNESS URGENT CARE WILLIAMS MEDICAL GROUP
  • Facility Address: 2501 N 14TH ST
    PONCA CITY, OK
    ZIP 74601
  • Facility Phone: 580 749-5076
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: TAMARA J. GRABEAL
  • NPI Number: 1932779782
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2180415
LAB Type Other - URGENT CARE
Facility Name XPRESS WELLNESS URGENT CARE WILLIAMS MEDICAL GROUP
Street 2501 N 14TH ST
City PONCA CITY
State OK
ZIP 74601
Phone 580 749-5076
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Other - URGENT CARE
Lab Director TAMARA J. GRABEAL

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