37D2038361 CLIA NUMBER - FUNCTIONAL MEDICAL INSTITUTE

Laboratory Demographics

  • CLIA Code: 37D2038361
  • Facility Name: FUNCTIONAL MEDICAL INSTITUTE
  • Facility Address: 6048 SOUTH SHERIDAN, SUITE E
    TULSA, OK
    ZIP 74145
  • Facility Phone: 918 960-0595
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELE L. NEIL
  • NPI Number: 1720354202
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2038361
LAB Type Physician Office
Facility Name FUNCTIONAL MEDICAL INSTITUTE
Street 6048 SOUTH SHERIDAN, SUITE E
City TULSA
State OK
ZIP 74145
Phone 918 960-0595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director MICHELE L. NEIL

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