37D2253752 CLIA NUMBER - HOMETOWN PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 37D2253752
  • Facility Name: HOMETOWN PRIMARY CARE
  • Facility Address: 13511 NE 23RD
    CHOCTAW, OK
    ZIP 73020
  • Facility Phone: 405 625-3873
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CANDACE HERRIN
  • NPI Number: 1942945910
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2253752
LAB Type Practitioner Other
Facility Name HOMETOWN PRIMARY CARE
Street 13511 NE 23RD
City CHOCTAW
State OK
ZIP 73020
Phone 405 625-3873
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Practitioner Other
Lab Director CANDACE HERRIN

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