37D2125390 CLIA NUMBER - CRYSTAL SPARLING-SCISSORTAIL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 37D2125390
  • Facility Name: CRYSTAL SPARLING-SCISSORTAIL PEDIATRICS
  • Facility Address: 865 E VETERAN'S MEMORIAL HIGHWAY
    BLANCHARD, OK
    ZIP 73010
  • Facility Phone: 405 342-0388
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTA D. RIGHARDSON
  • NPI Number: 1902002025
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 37D2125390
LAB Type Physician Office
Facility Name CRYSTAL SPARLING-SCISSORTAIL PEDIATRICS
Street 865 E VETERAN'S MEMORIAL HIGHWAY
City BLANCHARD
State OK
ZIP 73010
Phone 405 342-0388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director KRISTA D. RIGHARDSON

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