37D2195978 CLIA NUMBER - GUYMON VISION CLINIC

Laboratory Demographics

  • CLIA Code: 37D2195978
  • Facility Name: GUYMON VISION CLINIC
  • Facility Address: 301 NORTHRIDGE CIRCLE
    GUYMON, OK
    ZIP 73942
  • Facility Phone: 580 338-8437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MACK JOHNSON
  • NPI Number: 1386857811
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 37D2195978
LAB Type Physician Office
Facility Name GUYMON VISION CLINIC
Street 301 NORTHRIDGE CIRCLE
City GUYMON
State OK
ZIP 73942
Phone 580 338-8437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Physician Office
Lab Director MACK JOHNSON

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