37D1049173 CLIA NUMBER - HOLLOWAY GROUP, THE

Laboratory Demographics

  • CLIA Code: 37D1049173
  • Facility Name: HOLLOWAY GROUP, THE
  • Facility Address: 6613 N MERIDIAN AVE
    OKLAHOMA CITY, OK
    ZIP 73116
  • Facility Phone: 405 603-8450
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIS HOLLOWAY
  • NPI Number: 1497848147
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D1049173
LAB Type Physician Office
Facility Name HOLLOWAY GROUP, THE
Street 6613 N MERIDIAN AVE
City OKLAHOMA CITY
State OK
ZIP 73116
Phone 405 603-8450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Physician Office
Lab Director WILLIS HOLLOWAY

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