37D2034944 CLIA NUMBER - CLEVELAND PD

Laboratory Demographics

  • CLIA Code: 37D2034944
  • Facility Name: CLEVELAND PD
  • Facility Address: 1059 SE 82ND STREET
    OKLAHOMA CITY, OK
    ZIP 73149
  • Facility Phone: 405 512-6912
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAVID WILLIAMS
  • NPI Number: 1942578422
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2034944
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CLEVELAND PD
Street 1059 SE 82ND STREET
City OKLAHOMA CITY
State OK
ZIP 73149
Phone 405 512-6912
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DAVID WILLIAMS

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