37D2023136 CLIA NUMBER - OWASSO DIALYSIS

Laboratory Demographics

  • CLIA Code: 37D2023136
  • Facility Name: OWASSO DIALYSIS
  • Facility Address: 9521 N OWASSO EXPRESSWAY
    OWASSO, OK
    ZIP 74055
  • Facility Phone: 918 376-9479
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KUSUM BHANDARI
  • NPI Number: 1568761401
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2023136
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name OWASSO DIALYSIS
Street 9521 N OWASSO EXPRESSWAY
City OWASSO
State OK
ZIP 74055
Phone 918 376-9479
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KUSUM BHANDARI

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