37D2009787 CLIA NUMBER - SPECIALTY PAIN MANAGEMENT CENTER

Laboratory Demographics

  • CLIA Code: 37D2009787
  • Facility Name: SPECIALTY PAIN MANAGEMENT CENTER
  • Facility Address: 6802 SOUTH OLYMPIA AVENUE, STE 250
    TULSA, OK
    ZIP 74132
  • Facility Phone: 918 481-6494
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFERY M. CALAVA
  • NPI Number: 1346311776
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 37D2009787
LAB Type Physician Office
Facility Name SPECIALTY PAIN MANAGEMENT CENTER
Street 6802 SOUTH OLYMPIA AVENUE, STE 250
City TULSA
State OK
ZIP 74132
Phone 918 481-6494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Physician Office
Lab Director JEFFERY M. CALAVA

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