37D2279758 CLIA NUMBER - CARRUS LAKESIDE HOSPITAL

Laboratory Demographics

  • CLIA Code: 37D2279758
  • Facility Name: CARRUS LAKESIDE HOSPITAL
  • Facility Address: 700 W 7TH AVENUE
    BRISTOW, OK
    ZIP 74010
  • Facility Phone: 539 204-6700
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: TERRY L. BRYAN
  • NPI Number: 1356012892
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 37D2279758
LAB Type Hospital
Facility Name CARRUS LAKESIDE HOSPITAL
Street 700 W 7TH AVENUE
City BRISTOW
State OK
ZIP 74010
Phone 539 204-6700
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Hospital
Lab Director TERRY L. BRYAN

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