Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
37D2295187
|
|
Clinical laboratory number
|
|
Lab Name
|
BROKEN BOW FAMILY CLINIC
|
|
Laboratory Name
|
|
Lab Type
|
Practitioner Other
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
580-584-5551
|
|
Laboratory telephone number
|
|
Fax
|
580-584-5552
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
115 W 1ST ST
|
|
Primary location adress line
|
|
City
|
BROKEN BOW
|
|
Primary location city name
|
|
State
|
OK
|
|
Primary location state name
|
|
Zip
|
74728
|
|
Primary location postal code
|