37D2235444 CLIA NUMBER - VALLIANT PUBLIC SCHOOL

Laboratory Demographics

CLIA Number: 37D2235444

Facility Name: VALLIANT PUBLIC SCHOOL

Facility Address:
604 E LUCAS
VALLIANT, OK
ZIP 74764
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Facility Phone Number: 580 933-7232

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1184683807

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	37D2235444
LAB Type	School/Student Health Service
Facility Name	VALLIANT PUBLIC SCHOOL
Street	604 E LUCAS
City	VALLIANT
State	OK
ZIP	74764
Phone	580 933-7232
CertificateType	4
CertificateEffectiveDate	9/9/2023
CertificateExpirationDate	9/8/2025
FacilityType	Waiver

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