37D0987329 CLIA NUMBER - VARIETY CARE AT LAFAYETTE

Laboratory Demographics

  • CLIA Code: 37D0987329
  • Facility Name: VARIETY CARE AT LAFAYETTE
  • Facility Address: 500 SW 44TH STREET
    OKLAHOMA CITY, OK
    ZIP 73109
  • Facility Phone: 405 632-6688
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: SANDRA GILLILAND
  • NPI Number: 1982939526
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D0987329
LAB Type Federally Qualified Health Center
Facility Name VARIETY CARE AT LAFAYETTE
Street 500 SW 44TH STREET
City OKLAHOMA CITY
State OK
ZIP 73109
Phone 405 632-6688
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 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Federally Qualified Health Center
Lab Director SANDRA GILLILAND

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