37D2048295 CLIA NUMBER - COMPREHENSIVE DIAGNOSTIC IMAGING

Laboratory Demographics

  • CLIA Code: 37D2048295
  • Facility Name: COMPREHENSIVE DIAGNOSTIC IMAGING
  • Facility Address: 5800 NORTH PORTLAND AVE
    OKLAHOMA CITY, OK
    ZIP 73112
  • Facility Phone: 405 601-4500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURIE HAST
  • NPI Number: 1962768143
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2048295
LAB Type Physician Office
Facility Name COMPREHENSIVE DIAGNOSTIC IMAGING
Street 5800 NORTH PORTLAND AVE
City OKLAHOMA CITY
State OK
ZIP 73112
Phone 405 601-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director LAURIE HAST

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