37D2244376 CLIA NUMBER - ENID VA CLINIC

Laboratory Demographics

  • CLIA Code: 37D2244376
  • Facility Name: ENID VA CLINIC
  • Facility Address: 915 E OWEN K GARRIOTT RD
    ENID, OK
    ZIP 73701
  • Facility Phone: 580 977-1855
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: TOMMY YATES
  • NPI Number: 1619033420
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 37D2244376
LAB Type Community Clinic
Facility Name ENID VA CLINIC
Street 915 E OWEN K GARRIOTT RD
City ENID
State OK
ZIP 73701
Phone 580 977-1855
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/1/2021
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director TOMMY YATES

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