37D2295190 CLIA NUMBER - LEGACY WELLNESS

Laboratory Demographics

  • CLIA Code: 37D2295190
  • Facility Name: LEGACY WELLNESS
  • Facility Address: 927 SW D AVE
    LAWTON, OK
    ZIP 73501
  • Facility Phone: 580 699-8051
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER LE
  • NPI Number: 1033989272
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2295190
LAB Type Physician Office
Facility Name LEGACY WELLNESS
Street 927 SW D AVE
City LAWTON
State OK
ZIP 73501
Phone 580 699-8051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Physician Office
Lab Director JENNIFER LE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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