37D0908892 CLIA NUMBER - CHERRY STREET SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 37D0908892
  • Facility Name: CHERRY STREET SURGERY CENTER, LLC
  • Facility Address: 1844 EAST 15TH STREET
    TULSA, OK
    ZIP 74104
  • Facility Phone: 918 727-7246
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ADAM J. WALLACE
  • NPI Number: 1124628656
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D0908892
LAB Type Ambulatory Surgery Center
Facility Name CHERRY STREET SURGERY CENTER, LLC
Street 1844 EAST 15TH STREET
City TULSA
State OK
ZIP 74104
Phone 918 727-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2023
Certificate Expiration Date 9/30/2025
Facility Type Ambulatory Surgery Center
Lab Director ADAM J. WALLACE

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