37D2025422 CLIA NUMBER - VARIETY CARE NORTHCARE

Laboratory Demographics

CLIA Code: 37D2025422
Facility Name: VARIETY CARE NORTHCARE
Facility Address: 2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK
ZIP 73107
Facility Phone: 405 632-6688
Facility Type: Federally Qualified Health Center
Facility Type: Microscopy
Lab Director: LAURA A. REINHARDT
NPI Number: 1902404965
Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name	Field Value
CLIA Number	37D2025422
LAB Type	Federally Qualified Health Center
Facility Name	VARIETY CARE NORTHCARE
Street	2617 GENERAL PERSHING BLVD
City	OKLAHOMA CITY
State	OK
ZIP	73107
Phone	405 632-6688
Certificate Type	Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description	This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date	11/1/2024
Certificate Expiration Date	10/31/2026
Facility Type	Federally Qualified Health Center
Lab Director	LAURA A. REINHARDT

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