37D2286913 CLIA NUMBER - HOMESTEAD MEDICAL CLINIC STAMAR MEDICAL PLC

Laboratory Demographics

  • CLIA Code: 37D2286913
  • Facility Name: HOMESTEAD MEDICAL CLINIC STAMAR MEDICAL PLC
  • Facility Address: 730 E TAFT AVE
    SAPULPA, OK
    ZIP 74066
  • Facility Phone: (918) 224-7305
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STACEY MARTIN
  • NPI Number: 1750718730
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2286913
LAB Type Physician Office
Facility Name HOMESTEAD MEDICAL CLINIC STAMAR MEDICAL PLC
Street 730 E TAFT AVE
City SAPULPA
State OK
ZIP 74066
Phone 9182247305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Physician Office
Lab Director STACEY MARTIN

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This page was last updated on: 5/18/2026