37D2193466 CLIA NUMBER - ST MARY'S FAMILY MEDICINE NORTH

Laboratory Demographics

  • CLIA Code: 37D2193466
  • Facility Name: ST MARY'S FAMILY MEDICINE NORTH
  • Facility Address: 1900 W WILLOW RD
    ENID, OK
    ZIP 73703
  • Facility Phone: 580 249-3782
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER HUTCHINSON
  • NPI Number: 1508207242
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 37D2193466
LAB Type Physician Office
Facility Name ST MARY'S FAMILY MEDICINE NORTH
Street 1900 W WILLOW RD
City ENID
State OK
ZIP 73703
Phone 580 249-3782
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director CHRISTOPHER HUTCHINSON

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