37D1102410 CLIA NUMBER - COSMETIC SURGERY AFFILIATES

Laboratory Demographics

  • CLIA Code: 37D1102410
  • Facility Name: COSMETIC SURGERY AFFILIATES
  • Facility Address: 2100 NW 63RD ST
    OKLAHOMA CITY, OK
    ZIP 73116
  • Facility Phone: (405) 842-6677
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ERIK J. NUVEEN
  • NPI Number: 1538315494
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 37D1102410
LAB Type Ambulatory Surgery Center
Facility Name COSMETIC SURGERY AFFILIATES
Street 2100 NW 63RD ST
City OKLAHOMA CITY
State OK
ZIP 73116
Phone 4058426677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Ambulatory Surgery Center
Lab Director ERIK J. NUVEEN

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This page was last updated on: 5/18/2026