37D0473593 CLIA NUMBER - UTICA PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 37D0473593
  • Facility Name: UTICA PEDIATRICS, LLC
  • Facility Address: 1589 E 19TH ST
    TULSA, OK
    ZIP 74120
  • Facility Phone: 918 743-8941
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PATRICK J. DALEY
  • NPI Number: 1932183548
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 37D0473593
LAB Type Physician Office
Facility Name UTICA PEDIATRICS, LLC
Street 1589 E 19TH ST
City TULSA
State OK
ZIP 74120
Phone 918 743-8941
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director PATRICK J. DALEY

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