37D2286940 CLIA NUMBER - MUSKOGEE FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 37D2286940

Facility Name: MUSKOGEE FAMILY PRACTICE

Facility Address:
209 S 36TH STREET
MUSKOGEE, OK
ZIP 74401
Get Directions

Facility Phone Number: 918 681-7554

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1629766407

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	37D2286940
LAB Type	Practitioner Other
Facility Name	MUSKOGEE FAMILY PRACTICE
Street	209 S 36TH STREET
City	MUSKOGEE
State	OK
ZIP	74401
Phone	918 681-7554
CertificateType	4
CertificateEffectiveDate	8/7/2023
CertificateExpirationDate	8/6/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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