37D2083911 CLIA NUMBER - LIGHTHOUSE HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 37D2083911
  • Facility Name: LIGHTHOUSE HEALTHCARE LLC
  • Facility Address: 1211 N SHARTELL STE 900
    OKLAHOMA CITY, OK
    ZIP 73103
  • Facility Phone: (405) 235-5331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS RUPERT
  • NPI Number: 1588997423
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2083911
LAB Type Physician Office
Facility Name LIGHTHOUSE HEALTHCARE LLC
Street 1211 N SHARTELL STE 900
City OKLAHOMA CITY
State OK
ZIP 73103
Phone 4052355331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director THOMAS RUPERT

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: 6/29/2026