37D2094976 CLIA NUMBER - SYLVESTER EYECARE

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Laboratory Demographics

CLIA Number: 37D2094976

Facility Name: SYLVESTER EYECARE

Facility Address:
13321 N MERIDIAN
OKLAHOMA CITY, OK
ZIP 73120
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Facility Phone Number: 000 405-6078

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588339543

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	37D2094976
LAB Type	Physician Office
Facility Name	SYLVESTER EYECARE
Street	13321 N MERIDIAN
City	OKLAHOMA CITY
State	OK
ZIP	73120
Phone	000 405-6078
CertificateType	4
CertificateEffectiveDate	4/28/2023
CertificateExpirationDate	4/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024