37D0473018 CLIA NUMBER - AUXILIUM HEALTH NETWORK

Laboratory Demographics

  • CLIA Code: 37D0473018
  • Facility Name: AUXILIUM HEALTH NETWORK
  • Facility Address: 3300 SOUTH ASPEN AVE, SUITE C
    BROKEN ARROW, OK
    ZIP 74012
  • Facility Phone: 918 455-2416
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KASH J. BIDDLE
  • NPI Number: 1073566659
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 37D0473018
LAB Type Physician Office
Facility Name AUXILIUM HEALTH NETWORK
Street 3300 SOUTH ASPEN AVE, SUITE C
City BROKEN ARROW
State OK
ZIP 74012
Phone 918 455-2416
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director KASH J. BIDDLE

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