Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
37D2063206
|
|
Clinical laboratory number
|
|
Lab Name
|
MAINSTREET FAMILY CLINIC, APRN-CNP, PLLC
|
|
Laboratory Name
|
|
Lab Type
|
Practitioner Other
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
918-518-5770
|
|
Laboratory telephone number
|
|
Fax
|
918-518-5773
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1201 W MAIN STREET
|
|
Primary location adress line
|
|
City
|
JENKS
|
|
Primary location city name
|
|
State
|
OK
|
|
Primary location state name
|
|
Zip
|
74037
|
|
Primary location postal code
|