37D2302297 CLIA NUMBER - NATIVE HEALTH, LLC

Laboratory Demographics

CLIA Number: 37D2302297

Facility Name: NATIVE HEALTH, LLC

Facility Address:
910 S BRYANT AVE
EDMOND, OK
ZIP 73034
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Facility Phone Number: 405 833-4890

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245095439

Taxonomy: 363LP2300X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	37D2302297
LAB Type	Physician Office
Facility Name	NATIVE HEALTH, LLC
Street	910 S BRYANT AVE
City	EDMOND
State	OK
ZIP	73034
Phone	405 833-4890
CertificateType	4
CertificateEffectiveDate	4/9/2024
CertificateExpirationDate	4/8/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024