37D2104927 CLIA NUMBER - OKLAHOMA CITY VISION SOURCE FAMILY EYE CARE AND OPTICAL

Laboratory Demographics

  • CLIA Code: 37D2104927
  • Facility Name: OKLAHOMA CITY VISION SOURCE FAMILY EYE CARE AND OPTICAL
  • Facility Address: 3011 NW 63RD STREET
    OKLAHOMA CITY, OK
    ZIP 73116
  • Facility Phone: 405 840-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT FORESTER
  • NPI Number: 1609465269
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2104927
LAB Type Physician Office
Facility Name OKLAHOMA CITY VISION SOURCE FAMILY EYE CARE AND OPTICAL
Street 3011 NW 63RD STREET
City OKLAHOMA CITY
State OK
ZIP 73116
Phone 405 840-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Physician Office
Lab Director SCOTT FORESTER

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