37D2120367 CLIA NUMBER - SSM HEALTH MEDICAL GROUPS MIDTOWN MEDICAL ASSOC

Laboratory Demographics

  • CLIA Code: 37D2120367
  • Facility Name: SSM HEALTH MEDICAL GROUPS MIDTOWN MEDICAL ASSOC
  • Facility Address: 608 NW 9TH STREET SUITE 4000
    OKLAHOMA CITY, OK
    ZIP 73102
  • Facility Phone: 405 272-5433
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUNE IVEY
  • NPI Number: 1447700422
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2120367
LAB Type Physician Office
Facility Name SSM HEALTH MEDICAL GROUPS MIDTOWN MEDICAL ASSOC
Street 608 NW 9TH STREET SUITE 4000
City OKLAHOMA CITY
State OK
ZIP 73102
Phone 405 272-5433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Physician Office
Lab Director JUNE IVEY

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