37D2299988 CLIA NUMBER - CRESCENT COMMUNITY CLINIC

Laboratory Demographics

  • CLIA Code: 37D2299988
  • Facility Name: CRESCENT COMMUNITY CLINIC
  • Facility Address: 14355 W CRESCENT DOVER ROAD
    CRESCENT, OK
    ZIP 73028
  • Facility Phone: 405 969-2787
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SHANNON L. DUNN
  • NPI Number: 1205824463
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2299988
LAB Type Practitioner Other
Facility Name CRESCENT COMMUNITY CLINIC
Street 14355 W CRESCENT DOVER ROAD
City CRESCENT
State OK
ZIP 73028
Phone 405 969-2787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Practitioner Other
Lab Director SHANNON L. DUNN

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