37D2286940 CLIA NUMBER - MUSKOGEE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 37D2286940
  • Facility Name: MUSKOGEE FAMILY PRACTICE
  • Facility Address: 209 S 36TH STREET
    MUSKOGEE, OK
    ZIP 74401
  • Facility Phone: 918 681-7554
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MONICA HOOG
  • NPI Number: 1629766407
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Practitioner Other
Lab Director MONICA HOOG

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