37D0706219 CLIA NUMBER - NEPHROLOGY SPECIALISTS OF OKLAHOMA

Laboratory Demographics

  • CLIA Code: 37D0706219
  • Facility Name: NEPHROLOGY SPECIALISTS OF OKLAHOMA
  • Facility Address: 6465 SOUTH YALE AVENUE, SUITE 507
    TULSA, OK
    ZIP 74136
  • Facility Phone: 918 481-2763
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANAND D. UDUPA, MD
  • NPI Number: 1215003314
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D0706219
LAB Type Physician Office
Facility Name NEPHROLOGY SPECIALISTS OF OKLAHOMA
Street 6465 SOUTH YALE AVENUE, SUITE 507
City TULSA
State OK
ZIP 74136
Phone 918 481-2763
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 ANAND D. UDUPA, MD

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