37D0675443 CLIA NUMBER - PHYSICIANS SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 37D0675443
  • Facility Name: PHYSICIANS SURGICAL CENTER LLC
  • Facility Address: 3121 SOUTH TELEPHONE ROAD
    MOORE, OK
    ZIP 73160
  • Facility Phone: 405 364-9789
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN P. SULLIVAN
  • NPI Number: 1073570552
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D0675443
LAB Type Ambulatory Surgery Center
Facility Name PHYSICIANS SURGICAL CENTER LLC
Street 3121 SOUTH TELEPHONE ROAD
City MOORE
State OK
ZIP 73160
Phone 405 364-9789
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 JOHN P. SULLIVAN

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