37D0884153 CLIA NUMBER - DAVID B DOMEK MD

Laboratory Demographics

  • CLIA Code: 37D0884153
  • Facility Name: DAVID B DOMEK MD
  • Facility Address: 3366 NW EXPRESSWAY STREET SUITE 330
    OKLAHOMA CITY, OK
    ZIP 73112
  • Facility Phone: 405 945-4525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID B. DOMEK MD
  • NPI Number: 1164473880
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 37D0884153
LAB Type Physician Office
Facility Name DAVID B DOMEK MD
Street 3366 NW EXPRESSWAY STREET SUITE 330
City OKLAHOMA CITY
State OK
ZIP 73112
Phone 405 945-4525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Physician Office
Lab Director DAVID B. DOMEK MD

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