37D2060512 CLIA NUMBER - A PLACE TO GROW PEDIATRICS

Laboratory Demographics

  • CLIA Code: 37D2060512
  • Facility Name: A PLACE TO GROW PEDIATRICS
  • Facility Address: 812 SOUTH MUSTANG ROAD
    YUKON, OK
    ZIP 73099
  • Facility Phone: 405 265-3900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TRINITY LOVELESS
  • NPI Number: 1629310230
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2060512
LAB Type Physician Office
Facility Name A PLACE TO GROW PEDIATRICS
Street 812 SOUTH MUSTANG ROAD
City YUKON
State OK
ZIP 73099
Phone 405 265-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Physician Office
Lab Director TRINITY LOVELESS

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