37D2047389 CLIA NUMBER - TULSA AMBULATORY PROCEDURE CENTER LLC

Laboratory Demographics

  • CLIA Code: 37D2047389
  • Facility Name: TULSA AMBULATORY PROCEDURE CENTER LLC
  • Facility Address: 2811 E 15TH STREET SUITE 101
    TULSA, OK
    ZIP 74104
  • Facility Phone: 918 392-4590
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAYEN PATEL
  • NPI Number: 1346510476
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2047389
LAB Type Ambulatory Surgery Center
Facility Name TULSA AMBULATORY PROCEDURE CENTER LLC
Street 2811 E 15TH STREET SUITE 101
City TULSA
State OK
ZIP 74104
Phone 918 392-4590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Ambulatory Surgery Center
Lab Director JAYEN PATEL

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