37D2118757 CLIA NUMBER - PRECISION PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 37D2118757
  • Facility Name: PRECISION PAIN MANAGEMENT
  • Facility Address: 4110 S 100TH E AVE STE 201
    TULSA, OK
    ZIP 74146
  • Facility Phone: 918 857-7246
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. MICHAEL W. FOWLER
  • NPI Number: 1700209566
  • Taxonomy: 208VP0000X - Pain Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2118757
LAB Type Physician Office
Facility Name PRECISION PAIN MANAGEMENT
Street 4110 S 100TH E AVE STE 201
City TULSA
State OK
ZIP 74146
Phone 918 857-7246
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/26/2023
Certificate Expiration Date 7/25/2025
Facility Type Physician Office
Lab Director DR. MICHAEL W. FOWLER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025