37D2039832 CLIA NUMBER - MED SOUTHWEST, PLLC MYEYEDR

Laboratory Demographics

  • CLIA Code: 37D2039832
  • Facility Name: MED SOUTHWEST, PLLC MYEYEDR
  • Facility Address: 4520 SOUTH HARVARD, SUITE 135
    TULSA, OK
    ZIP 74135
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH KAVANAGH
  • NPI Number: 1598989543
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 37D2039832
LAB Type Physician Office
Facility Name MED SOUTHWEST, PLLC MYEYEDR
Street 4520 SOUTH HARVARD, SUITE 135
City TULSA
State OK
ZIP 74135
Phone 703 847-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director JOSEPH KAVANAGH

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