37D1027083 CLIA NUMBER - WINDSOR PARK MEDICAL CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 37D1027083
  • Facility Name: WINDSOR PARK MEDICAL CLINIC, LLC
  • Facility Address: 2512 N MERIDIAN ST
    OKLAHOMA CITY, OK
    ZIP 73107
  • Facility Phone: 405 605-5415
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEX DWUMA
  • NPI Number: 1285824128
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 37D1027083
LAB Type Physician Office
Facility Name WINDSOR PARK MEDICAL CLINIC, LLC
Street 2512 N MERIDIAN ST
City OKLAHOMA CITY
State OK
ZIP 73107
Phone 405 605-5415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Physician Office
Lab Director ALEX DWUMA

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