37D2060860 CLIA NUMBER - CLASSEN FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 37D2060860
  • Facility Name: CLASSEN FAMILY PRACTICE
  • Facility Address: 2824 CLASSEN BLVD SUITE 100
    NORMAN, OK
    ZIP 73071
  • Facility Phone: 405 701-7111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS RIDDLE
  • NPI Number: 1861732992
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 37D2060860
LAB Type Physician Office
Facility Name CLASSEN FAMILY PRACTICE
Street 2824 CLASSEN BLVD SUITE 100
City NORMAN
State OK
ZIP 73071
Phone 405 701-7111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2023
Certificate Expiration Date 6/18/2025
Facility Type Physician Office
Lab Director DOUGLAS RIDDLE

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This page was last updated on: 3/20/2025