37D2098067 CLIA NUMBER - EXPRESS FAMILY CARE

Laboratory Demographics

  • CLIA Code: 37D2098067
  • Facility Name: EXPRESS FAMILY CARE
  • Facility Address: 7117 W WILSHIRE BLVD
    OKLAHOMA CITY, OK
    ZIP 73132
  • Facility Phone: 405 470-1224
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JIMMY L. TISDALE
  • NPI Number: 1861873085
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2098067
LAB Type Physician Office
Facility Name EXPRESS FAMILY CARE
Street 7117 W WILSHIRE BLVD
City OKLAHOMA CITY
State OK
ZIP 73132
Phone 405 470-1224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director JIMMY L. TISDALE

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