37D2232710 CLIA NUMBER - PROACTIVE MD CFI WOODWARD HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 37D2232710
  • Facility Name: PROACTIVE MD CFI WOODWARD HEALTH CENTER
  • Facility Address: 1000 TERRA DR
    WOODWARD, OK
    ZIP 73801
  • Facility Phone: 580 290-1810
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JESSICA JONES
  • NPI Number: 1558034082
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2232710
LAB Type Practitioner Other
Facility Name PROACTIVE MD CFI WOODWARD HEALTH CENTER
Street 1000 TERRA DR
City WOODWARD
State OK
ZIP 73801
Phone 580 290-1810
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 JESSICA JONES

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