37D2272762 CLIA NUMBER - PRIMARY HEALTH PARTNERS-ARDMORE

Laboratory Demographics

  • CLIA Code: 37D2272762
  • Facility Name: PRIMARY HEALTH PARTNERS-ARDMORE
  • Facility Address: 1111 WALNUT DR
    ARDMORE, OK
    ZIP 73401
  • Facility Phone: 580 223-9008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAUREN SOUTHWARD
  • NPI Number: 1629796974
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2272762
LAB Type Physician Office
Facility Name PRIMARY HEALTH PARTNERS-ARDMORE
Street 1111 WALNUT DR
City ARDMORE
State OK
ZIP 73401
Phone 580 223-9008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Physician Office
Lab Director LAUREN SOUTHWARD

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