37D2036218 CLIA NUMBER - BIXBY PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 37D2036218
  • Facility Name: BIXBY PEDIATRICS PLLC
  • Facility Address: 6560 E 121ST STREET SOUTH
    BIXBY, OK
    ZIP 74008
  • Facility Phone: 918 439-6461
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIDHI KOUL
  • NPI Number: 1902177769
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2036218
LAB Type Physician Office
Facility Name BIXBY PEDIATRICS PLLC
Street 6560 E 121ST STREET SOUTH
City BIXBY
State OK
ZIP 74008
Phone 918 439-6461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Physician Office
Lab Director NIDHI KOUL

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