37D2069242 CLIA NUMBER - TEXOMA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 37D2069242
  • Facility Name: TEXOMA PEDIATRICS
  • Facility Address: 430 BRYAN
    DURANT, OK
    ZIP 74701
  • Facility Phone: (580) 920-1980
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL SIMULESCU
  • NPI Number: 1518307529
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 37D2069242
LAB Type Physician Office
Facility Name TEXOMA PEDIATRICS
Street 430 BRYAN
City DURANT
State OK
ZIP 74701
Phone 5809201980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2025
Certificate Expiration Date 11/1/2027
Facility Type Physician Office
Lab Director MICHAEL SIMULESCU

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This page was last updated on: 5/15/2026