37D0920249 CLIA NUMBER - OKLAHOMA KIDNEY CARE, PC

Laboratory Demographics

  • CLIA Code: 37D0920249
  • Facility Name: OKLAHOMA KIDNEY CARE, PC
  • Facility Address: 13901 MCAULEY BLVD, SUITE 303
    OKLAHOMA CITY, OK
    ZIP 73134
  • Facility Phone: 405 748-5800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KAALIN T. MARVELDT
  • NPI Number: 1720180029
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D0920249
LAB Type Physician Office
Facility Name OKLAHOMA KIDNEY CARE, PC
Street 13901 MCAULEY BLVD, SUITE 303
City OKLAHOMA CITY
State OK
ZIP 73134
Phone 405 748-5800
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 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director KAALIN T. MARVELDT

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This page was last updated on: 3/20/2025