37D2108807 CLIA NUMBER - DINA M BOWEN, MD PPLC

Laboratory Demographics

  • CLIA Code: 37D2108807
  • Facility Name: DINA M BOWEN, MD PPLC
  • Facility Address: 1601 HEALTH CENTER PARKWAY, BUILDING 900
    YUKON, OK
    ZIP 73099
  • Facility Phone: 405 577-6700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DINA M. BOWEN
  • NPI Number: 1336188937
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 37D2108807
LAB Type Physician Office
Facility Name DINA M BOWEN, MD PPLC
Street 1601 HEALTH CENTER PARKWAY, BUILDING 900
City YUKON
State OK
ZIP 73099
Phone 405 577-6700
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 DINA M. BOWEN

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