37D0474427 CLIA NUMBER - UNION PINES SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 37D0474427
  • Facility Name: UNION PINES SURGERY CENTER
  • Facility Address: 4808 S 109TH E AVE
    TULSA, OK
    ZIP 74146
  • Facility Phone: 918 742-2502
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WESLEY STOTLER
  • NPI Number: 1487655627
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D0474427
LAB Type Ambulatory Surgery Center
Facility Name UNION PINES SURGERY CENTER
Street 4808 S 109TH E AVE
City TULSA
State OK
ZIP 74146
Phone 918 742-2502
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 Ambulatory Surgery Center
Lab Director WESLEY STOTLER

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