37D2293476 CLIA NUMBER - VIRTUAL MEDICAL SOLUTIONS, LLC

Laboratory Demographics

  • CLIA Code: 37D2293476
  • Facility Name: VIRTUAL MEDICAL SOLUTIONS, LLC
  • Facility Address: 1420 12 AVE NW
    ARDMORE, OK
    ZIP 73401
  • Facility Phone: 580 798-4122
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JAMIN GRAHAM
  • NPI Number: 1801538467
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2293476
LAB Type Practitioner Other
Facility Name VIRTUAL MEDICAL SOLUTIONS, LLC
Street 1420 12 AVE NW
City ARDMORE
State OK
ZIP 73401
Phone 580 798-4122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Practitioner Other
Lab Director JAMIN GRAHAM

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