37D0888013 CLIA NUMBER - BROKEN ARROW FIRE DEPT

Laboratory Demographics

  • CLIA Code: 37D0888013
  • Facility Name: BROKEN ARROW FIRE DEPT
  • Facility Address: P O BOX 610
    BROKEN ARROW, OK
    ZIP 74013
  • Facility Phone: 918 259-8359
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: PHILIP D. REID
  • NPI Number: 1336260918
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 37D0888013
LAB Type Mobile Laboratory
Facility Name BROKEN ARROW FIRE DEPT
Street P O BOX 610
City BROKEN ARROW
State OK
ZIP 74013
Phone 918 259-8359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Mobile Laboratory
Lab Director PHILIP D. REID

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This page was last updated on: 6/4/2025