37D1058307 CLIA NUMBER - PET IMAGING OF TULSA

Laboratory Demographics

  • CLIA Code: 37D1058307
  • Facility Name: PET IMAGING OF TULSA
  • Facility Address: 6711 SOUTH YALE STE 104
    TULSA, OK
    ZIP 74136
  • Facility Phone: 918 523-7200
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: AMIR ABDELMALIK
  • NPI Number: 1669425187
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D1058307
LAB Type Other
Facility Name PET IMAGING OF TULSA
Street 6711 SOUTH YALE STE 104
City TULSA
State OK
ZIP 74136
Phone 918 523-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Other
Lab Director AMIR ABDELMALIK

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