37D0891192 CLIA NUMBER - OKMULGEE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 37D0891192
  • Facility Name: OKMULGEE DIALYSIS CENTER
  • Facility Address: 201 S DELAWARE AVE
    OKMULGEE, OK
    ZIP 74447
  • Facility Phone: 918 756-3526
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LAYTH AL ATTAR
  • NPI Number: 1609865666
  • Taxonomy: 207PE0004X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D0891192
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name OKMULGEE DIALYSIS CENTER
Street 201 S DELAWARE AVE
City OKMULGEE
State OK
ZIP 74447
Phone 918 756-3526
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 End Stage Renal Disease Dialysis Facility
Lab Director LAYTH AL ATTAR

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