37D2111514 CLIA NUMBER - JANET FANNING MD, PC

Laboratory Demographics

  • CLIA Code: 37D2111514
  • Facility Name: JANET FANNING MD, PC
  • Facility Address: 937 SW 89TH ST, STE A
    OKLAHOMA CITY, OK
    ZIP 73139
  • Facility Phone: 405 702-4777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANET FANNING
  • NPI Number: 1437570223
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2111514
LAB Type Physician Office
Facility Name JANET FANNING MD, PC
Street 937 SW 89TH ST, STE A
City OKLAHOMA CITY
State OK
ZIP 73139
Phone 405 702-4777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Physician Office
Lab Director JANET FANNING

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