37D2316219 CLIA NUMBER - OTOE-MISSOURIA TRIBE HEALTH DEPT

Laboratory Demographics

  • CLIA Code: 37D2316219
  • Facility Name: OTOE-MISSOURIA TRIBE HEALTH DEPT
  • Facility Address: 8151 HWY 177
    RED ROCK, OK
    ZIP 74651
  • Facility Phone: 580 723-4466
  • Facility Type: Other - TRIBE HEALTH DEPT
  • Facility Type: Waiver
  • Lab Director: ROBERT LINCOLN
  • NPI Number: 1629886783
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2316219
LAB Type Other - TRIBE HEALTH DEPT
Facility Name OTOE-MISSOURIA TRIBE HEALTH DEPT
Street 8151 HWY 177
City RED ROCK
State OK
ZIP 74651
Phone 580 723-4466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Other - TRIBE HEALTH DEPT
Lab Director ROBERT LINCOLN

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