37D2064297 CLIA NUMBER - PEDISTAT, PLLC

Laboratory Demographics

  • CLIA Code: 37D2064297
  • Facility Name: PEDISTAT, PLLC
  • Facility Address: 4710 E 51ST STREET
    TULSA, OK
    ZIP 74135
  • Facility Phone: 918 928-7828
  • Facility Type: Other - URGENT CARE FACILITY
  • Facility Type: Waiver
  • Lab Director: ETHAN A. WARLICK
  • NPI Number: 1639515471
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2064297
LAB Type Other - URGENT CARE FACILITY
Facility Name PEDISTAT, PLLC
Street 4710 E 51ST STREET
City TULSA
State OK
ZIP 74135
Phone 918 928-7828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Other - URGENT CARE FACILITY
Lab Director ETHAN A. WARLICK

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