37D2055160 CLIA NUMBER - ARDMORE DIALYSIS RANCH

Laboratory Demographics

  • CLIA Code: 37D2055160
  • Facility Name: ARDMORE DIALYSIS RANCH
  • Facility Address: 2617 CROSSROADS DRIVE
    ARDMORE, OK
    ZIP 73401
  • Facility Phone: 580 490-9844
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ABDUL KHAN
  • NPI Number: 1992037626
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2055160
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ARDMORE DIALYSIS RANCH
Street 2617 CROSSROADS DRIVE
City ARDMORE
State OK
ZIP 73401
Phone 580 490-9844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ABDUL KHAN

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