37D1051307 CLIA NUMBER - LYNN A ANDERSON MD

Laboratory Demographics

  • CLIA Code: 37D1051307
  • Facility Name: LYNN A ANDERSON MD
  • Facility Address: 2424 E 21ST ST, STE 340
    TULSA, OK
    ZIP 74114
  • Facility Phone: 918 728-3100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LYNN A. ANDERSON MD
  • NPI Number: 1124076161
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 37D1051307
LAB Type Physician Office
Facility Name LYNN A ANDERSON MD
Street 2424 E 21ST ST, STE 340
City TULSA
State OK
ZIP 74114
Phone 918 728-3100
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 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director LYNN A. ANDERSON MD

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