37D2093763 CLIA NUMBER - COORDINATED CARE HEALTH SOLUTIONS, LLC

Laboratory Demographics

  • CLIA Code: 37D2093763
  • Facility Name: COORDINATED CARE HEALTH SOLUTIONS, LLC
  • Facility Address: 10120 N BROADWAY EXT, STE 220
    OKLAHOMA CITY, OK
    ZIP 73114
  • Facility Phone: 405 605-0720
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ERIC P. WALLIS
  • NPI Number: 1871960195
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 37D2093763
LAB Type Independent
Facility Name COORDINATED CARE HEALTH SOLUTIONS, LLC
Street 10120 N BROADWAY EXT, STE 220
City OKLAHOMA CITY
State OK
ZIP 73114
Phone 405 605-0720
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Independent
Lab Director DR. ERIC P. WALLIS

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