37D0474019 CLIA NUMBER - YOUNG PEOPLE'S CLINIC

Laboratory Demographics

  • CLIA Code: 37D0474019
  • Facility Name: YOUNG PEOPLE'S CLINIC
  • Facility Address: 715 W MAIN ST, STE S
    JENKS, OK
    ZIP 74037
  • Facility Phone: 918 745-0501
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA E. HART
  • NPI Number: 1295929024
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 37D0474019
LAB Type Physician Office
Facility Name YOUNG PEOPLE'S CLINIC
Street 715 W MAIN ST, STE S
City JENKS
State OK
ZIP 74037
Phone 918 745-0501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Physician Office
Lab Director LISA E. HART

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