37D2328958 CLIA NUMBER - ADA ADULT MEDICINE CLINIC MEDCORE LLC

Laboratory Demographics

  • CLIA Code: 37D2328958
  • Facility Name: ADA ADULT MEDICINE CLINIC MEDCORE LLC
  • Facility Address: 721 BETTER NOW PLAZA
    ADA, OK
    ZIP 74820
  • Facility Phone: 580 272-4579
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE A. COLE
  • NPI Number: 1689723959
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2328958
LAB Type Physician Office
Facility Name ADA ADULT MEDICINE CLINIC MEDCORE LLC
Street 721 BETTER NOW PLAZA
City ADA
State OK
ZIP 74820
Phone 580 272-4579
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Physician Office
Lab Director MICHELLE A. COLE

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