37D1090429 CLIA NUMBER - INTERNAL MEDICINE AND ASSOCIATES OF OKC PPL

Laboratory Demographics

  • CLIA Code: 37D1090429
  • Facility Name: INTERNAL MEDICINE AND ASSOCIATES OF OKC PPL
  • Facility Address: 3613 NW 56TH, STE 318
    OKLAHOMA CITY, OK
    ZIP 73112
  • Facility Phone: 405 604-0688
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAKESH PRASAD
  • NPI Number: 1235477548
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D1090429
LAB Type Physician Office
Facility Name INTERNAL MEDICINE AND ASSOCIATES OF OKC PPL
Street 3613 NW 56TH, STE 318
City OKLAHOMA CITY
State OK
ZIP 73112
Phone 405 604-0688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director RAKESH PRASAD

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