37D2097257 CLIA NUMBER - SOUTHEAST NEPHROLOGY - A DEPT OF MRHC

Laboratory Demographics

  • CLIA Code: 37D2097257
  • Facility Name: SOUTHEAST NEPHROLOGY - A DEPT OF MRHC
  • Facility Address: 4 E CLARK BASS BLVD, SUITE 302
    MCALESTER, OK
    ZIP 74501
  • Facility Phone: 918 421-4673
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RUBIN CHANDRAN
  • NPI Number: 1639105752
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 37D2097257
LAB Type Physician Office
Facility Name SOUTHEAST NEPHROLOGY - A DEPT OF MRHC
Street 4 E CLARK BASS BLVD, SUITE 302
City MCALESTER
State OK
ZIP 74501
Phone 918 421-4673
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Physician Office
Lab Director RUBIN CHANDRAN

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