37D1072715 CLIA NUMBER - OKLAHOMA COSMETIC SURGERY CENTER, PC

Laboratory Demographics

CLIA Number: 37D1072715

Facility Name: OKLAHOMA COSMETIC SURGERY CENTER, PC

Facility Address:
7322 E 91ST ST
TULSA, OK
ZIP 74133
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Facility Phone Number: 918 392-0880

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1427279561

Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

CLIA Record

Field Name	Field Value
CLIA Number	37D1072715
LAB Type	Ambulatory Surgery Center
Facility Name	OKLAHOMA COSMETIC SURGERY CENTER, PC
Street	7322 E 91ST ST
City	TULSA
State	OK
ZIP	74133
Phone	918 392-0880
CertificateType	4
CertificateEffectiveDate	8/22/2023
CertificateExpirationDate	8/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024