37D2091055 CLIA NUMBER - TRITON HEALTH PLLC

Laboratory Demographics

  • CLIA Code: 37D2091055
  • Facility Name: TRITON HEALTH PLLC
  • Facility Address: 128 W MAIN
    VIAN, OK
    ZIP 74962
  • Facility Phone: 000 918-7735
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARY SULLIVAN
  • NPI Number: 1275945974
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2091055
LAB Type Physician Office
Facility Name TRITON HEALTH PLLC
Street 128 W MAIN
City VIAN
State OK
ZIP 74962
Phone 000 918-7735
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Physician Office
Lab Director CARY SULLIVAN

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