37D1103430 CLIA NUMBER - AHMAD PEDIATRICS

Laboratory Demographics

  • CLIA Code: 37D1103430
  • Facility Name: AHMAD PEDIATRICS
  • Facility Address: 709 E DOWNING ST
    TAHLEQUAH, OK
    ZIP 74464
  • Facility Phone: 918 458-9444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YAHYA M. AHMAD
  • NPI Number: 1609005842
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 37D1103430
LAB Type Physician Office
Facility Name AHMAD PEDIATRICS
Street 709 E DOWNING ST
City TAHLEQUAH
State OK
ZIP 74464
Phone 918 458-9444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2023
Certificate Expiration Date 8/10/2025
Facility Type Physician Office
Lab Director YAHYA M. AHMAD

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