37D1019196 CLIA NUMBER - ACCESS MEDICAL CENTER-EDMOND MEDICAL RESOURCE MANAGEMENT, LP

Laboratory Demographics

  • CLIA Code: 37D1019196
  • Facility Name: ACCESS MEDICAL CENTER-EDMOND MEDICAL RESOURCE MANAGEMENT, LP
  • Facility Address: 46 EAST 15TH STREET
    EDMOND, OK
    ZIP 73013
  • Facility Phone: 405 844-5210
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: PETER BULLOCK
  • NPI Number: 1700100393
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D1019196
LAB Type Other - URGENT CARE
Facility Name ACCESS MEDICAL CENTER-EDMOND MEDICAL RESOURCE MANAGEMENT, LP
Street 46 EAST 15TH STREET
City EDMOND
State OK
ZIP 73013
Phone 405 844-5210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Other - URGENT CARE
Lab Director PETER BULLOCK

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