37D2108804 CLIA NUMBER - FAMILY HEALTH AND WELLNESS SUSAN WILLARD, DO LLC

Laboratory Demographics

  • CLIA Code: 37D2108804
  • Facility Name: FAMILY HEALTH AND WELLNESS SUSAN WILLARD, DO LLC
  • Facility Address: 6532 E 71ST STREET, SUITE 150
    TULSA, OK
    ZIP 74133
  • Facility Phone: 918 289-0091
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSIE C. WILLARD
  • NPI Number: 1013421023
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2108804
LAB Type Physician Office
Facility Name FAMILY HEALTH AND WELLNESS SUSAN WILLARD, DO LLC
Street 6532 E 71ST STREET, SUITE 150
City TULSA
State OK
ZIP 74133
Phone 918 289-0091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Physician Office
Lab Director SUSIE C. WILLARD

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