37D2323991 CLIA NUMBER - NORTHERN OKLAHOMA URGENT CARE

Laboratory Demographics

  • CLIA Code: 37D2323991
  • Facility Name: NORTHERN OKLAHOMA URGENT CARE
  • Facility Address: 16603 W SOUTH AVE
    TONKAWA, OK
    ZIP 74653
  • Facility Phone: 580 557-0069
  • Facility Type: Other - COMMUNITY URGENT CARE
  • Facility Type: Waiver
  • Lab Director: KENZEE K. GAMBRELL
  • NPI Number: 1679378608
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D2323991
LAB Type Other - COMMUNITY URGENT CARE
Facility Name NORTHERN OKLAHOMA URGENT CARE
Street 16603 W SOUTH AVE
City TONKAWA
State OK
ZIP 74653
Phone 580 557-0069
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Other - COMMUNITY URGENT CARE
Lab Director KENZEE K. GAMBRELL

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