37D2033873 CLIA NUMBER - KIDS 1ST PEDIATRIC AFTER HOURS CLINIC LLC

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Laboratory Demographics

CLIA Number: 37D2033873

Facility Name: KIDS 1ST PEDIATRIC AFTER HOURS CLINIC LLC

Facility Address:
12516 NORTH MAY AVENUE, SUITE B
OKLAHOMA CITY, OK
ZIP 73120
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Facility Phone Number: 405 751-5437

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1336416015

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	37D2033873
LAB Type	Community Clinic
Facility Name	KIDS 1ST PEDIATRIC AFTER HOURS CLINIC LLC
Street	12516 NORTH MAY AVENUE, SUITE B
City	OKLAHOMA CITY
State	OK
ZIP	73120
Phone	405 751-5437
CertificateType	4
CertificateEffectiveDate	8/13/2022
CertificateExpirationDate	8/12/2024
FacilityType	Waiver

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