37D0996795 CLIA NUMBER - SAPULPA DIALYSIS

Laboratory Demographics

  • CLIA Code: 37D0996795
  • Facility Name: SAPULPA DIALYSIS
  • Facility Address: 9647 RIDGEVIEW STREET
    TULSA, OK
    ZIP 74131
  • Facility Phone: 253 272-1916
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ROBERT M. GOLD MD
  • NPI Number: 1316909534
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D0996795
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SAPULPA DIALYSIS
Street 9647 RIDGEVIEW STREET
City TULSA
State OK
ZIP 74131
Phone 253 272-1916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ROBERT M. GOLD MD

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