37D2082486 CLIA NUMBER - KUMAR B ENNAMURI, MD, PC

Laboratory Demographics

  • CLIA Code: 37D2082486
  • Facility Name: KUMAR B ENNAMURI, MD, PC
  • Facility Address: 1125 N PORTER AVENUE, STE 300
    NORMAN, OK
    ZIP 73071
  • Facility Phone: 405 820-2586
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KUMAR B. ENNAMURI
  • NPI Number: 1598350878
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2082486
LAB Type Physician Office
Facility Name KUMAR B ENNAMURI, MD, PC
Street 1125 N PORTER AVENUE, STE 300
City NORMAN
State OK
ZIP 73071
Phone 405 820-2586
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Physician Office
Lab Director KUMAR B. ENNAMURI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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