37D0470162 CLIA NUMBER - MELISSA K CLEMENTS MD

Laboratory Demographics

  • CLIA Code: 37D0470162
  • Facility Name: MELISSA K CLEMENTS MD
  • Facility Address: 6301 WATERFORD BOULEVARD SUITE 100
    OKLAHOMA CITY, OK
    ZIP 73118
  • Facility Phone: 405 843-7401
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MELISSA K. CLEMENTS MD
  • NPI Number: 1275971566
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 37D0470162
LAB Type Physician Office
Facility Name MELISSA K CLEMENTS MD
Street 6301 WATERFORD BOULEVARD SUITE 100
City OKLAHOMA CITY
State OK
ZIP 73118
Phone 405 843-7401
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director MELISSA K. CLEMENTS MD

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This page was last updated on: 6/4/2025