37D0473409 CLIA NUMBER - JAMES RUSSELL MD

Laboratory Demographics

  • CLIA Code: 37D0473409
  • Facility Name: JAMES RUSSELL MD
  • Facility Address: 308 SOUTH MAIN
    SAPULPA, OK
    ZIP 74066
  • Facility Phone: 918 224-3081
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES RUSSELL
  • NPI Number: 1578786950
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D0473409
LAB Type Physician Office
Facility Name JAMES RUSSELL MD
Street 308 SOUTH MAIN
City SAPULPA
State OK
ZIP 74066
Phone 918 224-3081
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2023
Certificate Expiration Date 10/19/2025
Facility Type Physician Office
Lab Director JAMES RUSSELL

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