37D0934718 CLIA NUMBER - MICHAEL D RADER MD PC

Laboratory Demographics

  • CLIA Code: 37D0934718
  • Facility Name: MICHAEL D RADER MD PC
  • Facility Address: 1121 WEST 3RD STREET
    ELK CITY, OK
    ZIP 73644
  • Facility Phone: 580 243-3376
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL D. RADER
  • NPI Number: 1619966108
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D0934718
LAB Type Physician Office
Facility Name MICHAEL D RADER MD PC
Street 1121 WEST 3RD STREET
City ELK CITY
State OK
ZIP 73644
Phone 580 243-3376
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 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Physician Office
Lab Director MICHAEL D. RADER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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