37D0895626 CLIA NUMBER - PRYOR DIALYSIS

Laboratory Demographics

  • CLIA Code: 37D0895626
  • Facility Name: PRYOR DIALYSIS
  • Facility Address: 309 EAST GRAHAM AVENUE
    PRYOR, OK
    ZIP 74361
  • Facility Phone: 918 825-3100
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AYESHA ANWAAR
  • NPI Number: 1902047111
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D0895626
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PRYOR DIALYSIS
Street 309 EAST GRAHAM AVENUE
City PRYOR
State OK
ZIP 74361
Phone 918 825-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AYESHA ANWAAR

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