37D2050059 CLIA NUMBER - ASMG SAND SPRINGS LLC

Laboratory Demographics

  • CLIA Code: 37D2050059
  • Facility Name: ASMG SAND SPRINGS LLC
  • Facility Address: 3905 S HIGHWAY 97
    SAND SPRINGS, OK
    ZIP 74063
  • Facility Phone: 918 260-2093
  • Facility Type: Other - PCP
  • Facility Type: Waiver
  • Lab Director: CANNEN R. FERRELL
  • NPI Number: 1902140056
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2050059
LAB Type Other - PCP
Facility Name ASMG SAND SPRINGS LLC
Street 3905 S HIGHWAY 97
City SAND SPRINGS
State OK
ZIP 74063
Phone 918 260-2093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Other - PCP
Lab Director CANNEN R. FERRELL

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