37D2081898 CLIA NUMBER - WELLSPRING FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 37D2081898
  • Facility Name: WELLSPRING FAMILY CLINIC
  • Facility Address: 4623 W KENOSHA ST
    BROKEN ARROW, OK
    ZIP 74012
  • Facility Phone: 918 461-0422
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTI G. SAGER
  • NPI Number: 1033526611
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2081898
LAB Type Physician Office
Facility Name WELLSPRING FAMILY CLINIC
Street 4623 W KENOSHA ST
City BROKEN ARROW
State OK
ZIP 74012
Phone 918 461-0422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Physician Office
Lab Director KRISTI G. SAGER

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