37D2285649 CLIA NUMBER - LCHC SOUTHCARE

Laboratory Demographics

  • CLIA Code: 37D2285649
  • Facility Name: LCHC SOUTHCARE
  • Facility Address: 512 SW LEE BLVD
    LAWTON, OK
    ZIP 73501
  • Facility Phone: 580 250-6541
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MARK COTTON
  • NPI Number: 1588351407
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2285649
LAB Type Federally Qualified Health Center
Facility Name LCHC SOUTHCARE
Street 512 SW LEE BLVD
City LAWTON
State OK
ZIP 73501
Phone 580 250-6541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Federally Qualified Health Center
Lab Director MARK COTTON

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