37D0473667 CLIA NUMBER - NEPHROLOGY ASSOCIATES INC

Laboratory Demographics

  • CLIA Code: 37D0473667
  • Facility Name: NEPHROLOGY ASSOCIATES INC
  • Facility Address: 2000 S WHEELING AVE STE 510
    TULSA, OK
    ZIP 74104
  • Facility Phone: 918 747-5200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BOBBY MUTHALALY
  • NPI Number: 1497864532
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D0473667
LAB Type Physician Office
Facility Name NEPHROLOGY ASSOCIATES INC
Street 2000 S WHEELING AVE STE 510
City TULSA
State OK
ZIP 74104
Phone 918 747-5200
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director BOBBY MUTHALALY

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