37D2288121 CLIA NUMBER - PHENYX HOME CARE

Laboratory Demographics

  • CLIA Code: 37D2288121
  • Facility Name: PHENYX HOME CARE
  • Facility Address: 6425 NW CACHE RD, STE 102
    LAWTON, OK
    ZIP 73505
  • Facility Phone: 580 699-3094
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: STEPHANIE DURBIN
  • NPI Number: 1184488868
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 37D2288121
LAB Type Home Health Agency
Facility Name PHENYX HOME CARE
Street 6425 NW CACHE RD, STE 102
City LAWTON
State OK
ZIP 73505
Phone 580 699-3094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Home Health Agency
Lab Director STEPHANIE DURBIN

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