37D1104474 CLIA NUMBER - JENNIFER M MORRIS, MD, PC

Laboratory Demographics

CLIA Number: 37D1104474

Facility Name: JENNIFER M MORRIS, MD, PC

Facility Address:
2000 SONOMA PARK DRIVE
EDMOND, OK
ZIP 73013
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Facility Phone Number: 405 285-2260

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215441548

Taxonomy: 175T00000X - Peer Specialist
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

CLIA Record

Field Name	Field Value
CLIA Number	37D1104474
LAB Type	Physician Office
Facility Name	JENNIFER M MORRIS, MD, PC
Street	2000 SONOMA PARK DRIVE
City	EDMOND
State	OK
ZIP	73013
Phone	405 285-2260
CertificateType	4
CertificateEffectiveDate	9/3/2023
CertificateExpirationDate	9/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024