37D2198745 CLIA NUMBER - WESTERN OKLAHOMA PAIN SPECIALISTS

Laboratory Demographics

  • CLIA Code: 37D2198745
  • Facility Name: WESTERN OKLAHOMA PAIN SPECIALISTS
  • Facility Address: 217 N ILLINOIS
    WEATHERFORD, OK
    ZIP 73096
  • Facility Phone: 580 339-8001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN E. BLICK
  • NPI Number: 1114104486
  • Taxonomy: 231H00000X - Audiologist

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CLIA Record

Field Name Field Value
CLIA Number 37D2198745
LAB Type Physician Office
Facility Name WESTERN OKLAHOMA PAIN SPECIALISTS
Street 217 N ILLINOIS
City WEATHERFORD
State OK
ZIP 73096
Phone 580 339-8001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director BRIAN E. BLICK

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