37D1019783 CLIA NUMBER - FAMILY MEDICINE OF GLENPOOL

Laboratory Demographics

  • CLIA Code: 37D1019783
  • Facility Name: FAMILY MEDICINE OF GLENPOOL
  • Facility Address: 159 W 146TH STREET SUITE 4
    GLENPOOL, OK
    ZIP 74033
  • Facility Phone: 918 322-3838
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DONNA J. PRICE
  • NPI Number: 1942490495
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D1019783
LAB Type Physician Office
Facility Name FAMILY MEDICINE OF GLENPOOL
Street 159 W 146TH STREET SUITE 4
City GLENPOOL
State OK
ZIP 74033
Phone 918 322-3838
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 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director DONNA J. PRICE

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