37D2233479 CLIA NUMBER - LCHC MEDICINE PARK

Laboratory Demographics

  • CLIA Code: 37D2233479
  • Facility Name: LCHC MEDICINE PARK
  • Facility Address: 19055 STATE HIGHWAY 49
    MEDICINE PARK, OK
    ZIP 73557
  • Facility Phone: 580 585-5503
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL RAMOS
  • NPI Number: 1124694542
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2233479
LAB Type Federally Qualified Health Center
Facility Name LCHC MEDICINE PARK
Street 19055 STATE HIGHWAY 49
City MEDICINE PARK
State OK
ZIP 73557
Phone 580 585-5503
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Federally Qualified Health Center
Lab Director MICHAEL RAMOS

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