37D2116781 CLIA NUMBER - FUSIONMD

Laboratory Demographics

  • CLIA Code: 37D2116781
  • Facility Name: FUSIONMD
  • Facility Address: 5472 MAIN STREEN STE 101
    DEL CITY, OK
    ZIP 73115
  • Facility Phone: 405 622-3699
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AUDRALAN G FOX
  • NPI Number: 1770936452
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2116781
LAB Type Physician Office
Facility Name FUSIONMD
Street 5472 MAIN STREEN STE 101
City DEL CITY
State OK
ZIP 73115
Phone 405 622-3699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director AUDRALAN G FOX

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