37D1015285 CLIA NUMBER - OKLAHOMA HEART HOSPITAL RESEARCH FOUNDATION SHARED SERVICE OKLAHOMA CARDIOVASCULAR RESEARCH GR

Laboratory Demographics

CLIA Number: 37D1015285

Facility Name: OKLAHOMA HEART HOSPITAL RESEARCH FOUNDATION SHARED SERVICE OKLAHOMA CARDIOVASCULAR RESEARCH GR

Facility Address:
4050 WEST MEMORIAL ROAD THIRD FLOOR
OKLAHOMA CITY, OK
ZIP 73120
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Facility Phone Number: 405 608-1280

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1437411063

Taxonomy: 213ES0103X - Podiatrist

CLIA Record

Field Name	Field Value
CLIA Number	37D1015285
LAB Type	Other
Facility Name	OKLAHOMA HEART HOSPITAL RESEARCH FOUNDATION SHARED SERVICE OKLAHOMA CARDIOVASCULAR RESEARCH GR
Street	4050 WEST MEMORIAL ROAD THIRD FLOOR
City	OKLAHOMA CITY
State	OK
ZIP	73120
Phone	405 608-1280
CertificateType	4
CertificateEffectiveDate	7/29/2023
CertificateExpirationDate	7/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024