37D0949902 CLIA NUMBER - DERMATOLOGY ASSOCIATES OF EDMOND R&R DERMATOLOGY SERVICES, PLLC

Laboratory Demographics

  • CLIA Code: 37D0949902
  • Facility Name: DERMATOLOGY ASSOCIATES OF EDMOND R&R DERMATOLOGY SERVICES, PLLC
  • Facility Address: 3863 S BOULEVARD
    EDMOND, OK
    ZIP 73013
  • Facility Phone: 405 216-5444
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STACIE ROUGAS
  • NPI Number: 1902930209
  • Taxonomy: 207NS0135X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 37D0949902
LAB Type Physician Office
Facility Name DERMATOLOGY ASSOCIATES OF EDMOND R&R DERMATOLOGY SERVICES, PLLC
Street 3863 S BOULEVARD
City EDMOND
State OK
ZIP 73013
Phone 405 216-5444
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 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Physician Office
Lab Director STACIE ROUGAS

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