37D0909598 CLIA NUMBER - STILWELL DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 37D0909598
  • Facility Name: STILWELL DIALYSIS CENTER
  • Facility Address: 81143 HWY 59
    STILWELL, OK
    ZIP 74960
  • Facility Phone: 918 696-5072
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IMRAM TAHIR
  • NPI Number: 1730548322
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 37D0909598
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name STILWELL DIALYSIS CENTER
Street 81143 HWY 59
City STILWELL
State OK
ZIP 74960
Phone 918 696-5072
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director IMRAM TAHIR

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