37D2329068 CLIA NUMBER - ARBUCKLE FAMILY CLINIC AT DAVIS

Laboratory Demographics

  • CLIA Code: 37D2329068
  • Facility Name: ARBUCKLE FAMILY CLINIC AT DAVIS
  • Facility Address: 109-C W MAIN ST
    DAVIS, OK
    ZIP 73030
  • Facility Phone: 580 622-8205
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: GEORGE W. RUSSELL
  • NPI Number: 1821972076
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2329068
LAB Type Rural Health Clinic
Facility Name ARBUCKLE FAMILY CLINIC AT DAVIS
Street 109-C W MAIN ST
City DAVIS
State OK
ZIP 73030
Phone 580 622-8205
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Rural Health Clinic
Lab Director GEORGE W. RUSSELL

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