37D2043184 CLIA NUMBER - NORTHEAST OKLAHOMA PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 37D2043184
  • Facility Name: NORTHEAST OKLAHOMA PHYSICIAN NETWORK
  • Facility Address: 1130 EAST LANSING
    BROKEN ARROW, OK
    ZIP 74012
  • Facility Phone: 918 258-9990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAY T. GEARY
  • NPI Number: 1114283025
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2043184
LAB Type Physician Office
Facility Name NORTHEAST OKLAHOMA PHYSICIAN NETWORK
Street 1130 EAST LANSING
City BROKEN ARROW
State OK
ZIP 74012
Phone 918 258-9990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Physician Office
Lab Director JAY T. GEARY

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