37D1048791 CLIA NUMBER - NORTHSIDE PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 37D1048791
  • Facility Name: NORTHSIDE PEDIATRIC ASSOCIATES
  • Facility Address: 13901 MCAULEY BLVD, SUITE 220
    OKLAHOMA CITY, OK
    ZIP 73134
  • Facility Phone: 405 755-6100
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: JANA FREEMAN
  • NPI Number: 1396933685
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 37D1048791
LAB Type Physician Office
Facility Name NORTHSIDE PEDIATRIC ASSOCIATES
Street 13901 MCAULEY BLVD, SUITE 220
City OKLAHOMA CITY
State OK
ZIP 73134
Phone 405 755-6100
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director JANA FREEMAN

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