37D1074806 CLIA NUMBER - MEDICAL PLAZA ENDOSCOPY

Laboratory Demographics

  • CLIA Code: 37D1074806
  • Facility Name: MEDICAL PLAZA ENDOSCOPY
  • Facility Address: 1125 N PORTER, SUITE 304
    NORMAN, OK
    ZIP 73071
  • Facility Phone: 405 515-2799
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PHILIP C. BIRD
  • NPI Number: 1881651453
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D1074806
LAB Type Ambulatory Surgery Center
Facility Name MEDICAL PLAZA ENDOSCOPY
Street 1125 N PORTER, SUITE 304
City NORMAN
State OK
ZIP 73071
Phone 405 515-2799
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2023
Certificate Expiration Date 10/7/2025
Facility Type Ambulatory Surgery Center
Lab Director PHILIP C. BIRD

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This page was last updated on: 3/20/2025