37D1076375 CLIA NUMBER - MERCY HEALTH EDMOND MEMORIAL

Laboratory Demographics

  • CLIA Code: 37D1076375
  • Facility Name: MERCY HEALTH EDMOND MEMORIAL
  • Facility Address: 1919 E MEMORIAL RD
    OKLAHOMA CITY, OK
    ZIP 73131
  • Facility Phone: 405 341-7009
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICK M. GARRISON JR
  • NPI Number: 1356418321
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 37D1076375
LAB Type Physician Office
Facility Name MERCY HEALTH EDMOND MEMORIAL
Street 1919 E MEMORIAL RD
City OKLAHOMA CITY
State OK
ZIP 73131
Phone 405 341-7009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Physician Office
Lab Director PATRICK M. GARRISON JR

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