37D2298456 CLIA NUMBER - ACCESS MEDICAL CLINIC LLC

Laboratory Demographics

  • CLIA Code: 37D2298456
  • Facility Name: ACCESS MEDICAL CLINIC LLC
  • Facility Address: 709 E DOWNING ST
    TAHLEQUAH, OK
    ZIP 74464
  • Facility Phone: 870 856-1202
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK HAHN
  • NPI Number: 1396440756
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2298456
LAB Type Physician Office
Facility Name ACCESS MEDICAL CLINIC LLC
Street 709 E DOWNING ST
City TAHLEQUAH
State OK
ZIP 74464
Phone 870 856-1202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Physician Office
Lab Director MARK HAHN

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