37D0882417 CLIA NUMBER - NORMAN DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 37D0882417

Facility Name: NORMAN DIALYSIS CENTER

Facility Address:
1818 W LINDSEY BUILDING B SUITE 104
NORMAN, OK
ZIP 73071
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Facility Phone Number: 405 360-9815

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1790747053

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	37D0882417
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	NORMAN DIALYSIS CENTER
Street	1818 W LINDSEY BUILDING B SUITE 104
City	NORMAN
State	OK
ZIP	73071
Phone	405 360-9815
CertificateType	4
CertificateEffectiveDate	2/3/2024
CertificateExpirationDate	2/2/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024