37D1005366 CLIA NUMBER - NICOLE DECAMP MD PC

Laboratory Demographics

  • CLIA Code: 37D1005366
  • Facility Name: NICOLE DECAMP MD PC
  • Facility Address: ST ANTHONY NORTH STE 2015 6201 N SANTA FE
    OKLAHOMA CITY, OK
    ZIP 73118
  • Facility Phone: 405 848-2800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NICOLE C. DECAMP
  • NPI Number: 1942246475
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 37D1005366
LAB Type Physician Office
Facility Name NICOLE DECAMP MD PC
Street ST ANTHONY NORTH STE 2015 6201 N SANTA FE
City OKLAHOMA CITY
State OK
ZIP 73118
Phone 405 848-2800
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 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director NICOLE C. DECAMP

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