37D2232698 CLIA NUMBER - PROACTIVE MD VERDIGRIS HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 37D2232698
  • Facility Name: PROACTIVE MD VERDIGRIS HEALTH CENTER
  • Facility Address: 6636 E 540 RD
    CLAREMORE, OK
    ZIP 74019
  • Facility Phone: 918 965-0220
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: VALERIE WILSON
  • NPI Number: 1649943176
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2232698
LAB Type Practitioner Other
Facility Name PROACTIVE MD VERDIGRIS HEALTH CENTER
Street 6636 E 540 RD
City CLAREMORE
State OK
ZIP 74019
Phone 918 965-0220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Practitioner Other
Lab Director VALERIE WILSON

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