37D1022550 CLIA NUMBER - SOUTH POINTE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 37D1022550
  • Facility Name: SOUTH POINTE PEDIATRICS
  • Facility Address: 1615 S EUCALYPTUS AVE SUITE 210
    BROKEN ARROW, OK
    ZIP 74012
  • Facility Phone: 918 254-6822
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: STEPHANIE CAUGHMAN
  • NPI Number: 1235399122
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 37D1022550
LAB Type Physician Office
Facility Name SOUTH POINTE PEDIATRICS
Street 1615 S EUCALYPTUS AVE SUITE 210
City BROKEN ARROW
State OK
ZIP 74012
Phone 918 254-6822
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Physician Office
Lab Director STEPHANIE CAUGHMAN

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