37D2100658 CLIA NUMBER - MIDWEST NEPHROLOGY GROUP PLLC

Laboratory Demographics

  • CLIA Code: 37D2100658
  • Facility Name: MIDWEST NEPHROLOGY GROUP PLLC
  • Facility Address: 9230 E RENO AVENUE SUITE B
    MIDWEST CITY, OK
    ZIP 73130
  • Facility Phone: 405 737-4900
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: SAMSON AMBAW
  • NPI Number: 1306396775
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2100658
LAB Type Physician Office
Facility Name MIDWEST NEPHROLOGY GROUP PLLC
Street 9230 E RENO AVENUE SUITE B
City MIDWEST CITY
State OK
ZIP 73130
Phone 405 737-4900
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 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Physician Office
Lab Director SAMSON AMBAW

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