37D2053172 CLIA NUMBER - AXIS HEALTHCARE PROPHYLAXIS HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 37D2053172
  • Facility Name: AXIS HEALTHCARE PROPHYLAXIS HEALTH, LLC
  • Facility Address: 303 E TAFT AVE SUITE 3
    SAPULPA, OK
    ZIP 74066
  • Facility Phone: 918 798-8398
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TONY HO
  • NPI Number: 1538453923
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2053172
LAB Type Physician Office
Facility Name AXIS HEALTHCARE PROPHYLAXIS HEALTH, LLC
Street 303 E TAFT AVE SUITE 3
City SAPULPA
State OK
ZIP 74066
Phone 918 798-8398
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director TONY HO

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