37D2285105 CLIA NUMBER - ADVANCED PRIMARY CARE CLINIC OF THE STOCKYARDS

Laboratory Demographics

CLIA Number: 37D2285105

Facility Name: ADVANCED PRIMARY CARE CLINIC OF THE STOCKYARDS

Facility Address:
1506 S AGNEW AVE
OKLAHOMA CITY, OK
ZIP 73108
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Facility Phone Number: 240 641-2640

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1740980416

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	37D2285105
LAB Type	Physician Office
Facility Name	ADVANCED PRIMARY CARE CLINIC OF THE STOCKYARDS
Street	1506 S AGNEW AVE
City	OKLAHOMA CITY
State	OK
ZIP	73108
Phone	240 641-2640
CertificateType	4
CertificateEffectiveDate	7/6/2023
CertificateExpirationDate	7/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024