37D2204927 CLIA NUMBER - DAHLONEGAH PUBLIC SCHOOL

Laboratory Demographics

  • CLIA Code: 37D2204927
  • Facility Name: DAHLONEGAH PUBLIC SCHOOL
  • Facility Address: 468739 E 878 RD
    STILWELL, OK
    ZIP 74960
  • Facility Phone: 918 696-7807
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JANELLE R. BREWER
  • NPI Number: 1083807598
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 37D2204927
LAB Type School/Student Health Service
Facility Name DAHLONEGAH PUBLIC SCHOOL
Street 468739 E 878 RD
City STILWELL
State OK
ZIP 74960
Phone 918 696-7807
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type School/Student Health Service
Lab Director JANELLE R. BREWER

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