37D0918231 CLIA NUMBER - WARREN CLINIC-MCAT/SW

Laboratory Demographics

  • CLIA Code: 37D0918231
  • Facility Name: WARREN CLINIC-MCAT/SW
  • Facility Address: 2605 WEST MAIN STREET
    JENKS, OK
    ZIP 74037
  • Facility Phone: 918 298-2336
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: VINCENT ROMAN MD
  • NPI Number: 1992861983
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D0918231
LAB Type Physician Office
Facility Name WARREN CLINIC-MCAT/SW
Street 2605 WEST MAIN STREET
City JENKS
State OK
ZIP 74037
Phone 918 298-2336
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Physician Office
Lab Director VINCENT ROMAN MD

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