37D2200733 CLIA NUMBER - THUNDER HEALTH & URGENT CARE, PLLC

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Laboratory Demographics

CLIA Number: 37D2200733

Facility Name: THUNDER HEALTH & URGENT CARE, PLLC

Facility Address:
2309 SW 29TH ST, STE F
OKLAHOMA CITY, OK
ZIP 73119
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Facility Phone Number: 405 926-0353

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1144829441

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	37D2200733
LAB Type	Practitioner Other
Facility Name	THUNDER HEALTH & URGENT CARE, PLLC
Street	2309 SW 29TH ST, STE F
City	OKLAHOMA CITY
State	OK
ZIP	73119
Phone	405 926-0353
CertificateType	4
CertificateEffectiveDate	11/1/2022
CertificateExpirationDate	10/31/2024
FacilityType	Waiver

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