37D0473657 CLIA NUMBER - DMNMDVIP, PLLC

Laboratory Demographics

  • CLIA Code: 37D0473657
  • Facility Name: DMNMDVIP, PLLC
  • Facility Address: 2000 S WHEELING AVE, SUITE 700
    TULSA, OK
    ZIP 74104
  • Facility Phone: 918 984-4999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID M. NIERENBERG
  • NPI Number: 1598220493
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D0473657
LAB Type Physician Office
Facility Name DMNMDVIP, PLLC
Street 2000 S WHEELING AVE, SUITE 700
City TULSA
State OK
ZIP 74104
Phone 918 984-4999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DAVID M. NIERENBERG

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