37D2281950 CLIA NUMBER - RURAL WELLNESS FAIRFAX HOSPITAL

Laboratory Demographics

  • CLIA Code: 37D2281950
  • Facility Name: RURAL WELLNESS FAIRFAX HOSPITAL
  • Facility Address: 40 HOSPITAL RD
    FAIRFAX, OK
    ZIP 74637
  • Facility Phone: 918 642-3291
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. GENE EVENS
  • NPI Number: 1295362564
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 37D2281950
LAB Type Hospital
Facility Name RURAL WELLNESS FAIRFAX HOSPITAL
Street 40 HOSPITAL RD
City FAIRFAX
State OK
ZIP 74637
Phone 918 642-3291
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Hospital
Lab Director DR. GENE EVENS

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