37D2194243 CLIA NUMBER - HILLTOP CLINIC CHRIST COMMUNITY HEALTH COALITION

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Laboratory Demographics

CLIA Number: 37D2194243

Facility Name: HILLTOP CLINIC CHRIST COMMUNITY HEALTH COALITION

Facility Address:
101 S W 25TH STREET
OKLAHOMA CITY, OK
ZIP 73109
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Facility Phone Number: 405 724-7482

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1972117885

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	37D2194243
LAB Type	Physician Office
Facility Name	HILLTOP CLINIC CHRIST COMMUNITY HEALTH COALITION
Street	101 S W 25TH STREET
City	OKLAHOMA CITY
State	OK
ZIP	73109
Phone	405 724-7482
CertificateType	4
CertificateEffectiveDate	9/29/2022
CertificateExpirationDate	9/28/2024
FacilityType	Waiver

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