37D2122165 CLIA NUMBER - BDC MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 37D2122165
  • Facility Name: BDC MEDICAL PLLC
  • Facility Address: 13601 W MEMORIAL RD, STE 200
    OKLAHOMA CITY, OK
    ZIP 73120
  • Facility Phone: 405 751-0011
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BLAKE CHRISTENSEN
  • NPI Number: 1013387810
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2122165
LAB Type Physician Office
Facility Name BDC MEDICAL PLLC
Street 13601 W MEMORIAL RD, STE 200
City OKLAHOMA CITY
State OK
ZIP 73120
Phone 405 751-0011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Physician Office
Lab Director BLAKE CHRISTENSEN

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