37D0995263 CLIA NUMBER - ARDMORE REGIONAL SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 37D0995263
  • Facility Name: ARDMORE REGIONAL SURGERY CENTER
  • Facility Address: 2002 12TH AVE NW, SUITE C
    ARDMORE, OK
    ZIP 73401
  • Facility Phone: 580 224-0007
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: J K. TROOP
  • NPI Number: 1376709907
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D0995263
LAB Type Ambulatory Surgery Center
Facility Name ARDMORE REGIONAL SURGERY CENTER
Street 2002 12TH AVE NW, SUITE C
City ARDMORE
State OK
ZIP 73401
Phone 580 224-0007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Ambulatory Surgery Center
Lab Director J K. TROOP

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