37D2141509 CLIA NUMBER - EDMOND PEDIATRICS AT DEER CREEK

Laboratory Demographics

CLIA Number: 37D2141509

Facility Name: EDMOND PEDIATRICS AT DEER CREEK

Facility Address:
16440 MUIRFIELD
EDMOND, OK
ZIP 73013
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Facility Phone Number: 405 726-9827

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1235419409

Taxonomy: 1223P0221X - Dentist
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

CLIA Record

Field Name	Field Value
CLIA Number	37D2141509
LAB Type	Physician Office
Facility Name	EDMOND PEDIATRICS AT DEER CREEK
Street	16440 MUIRFIELD
City	EDMOND
State	OK
ZIP	73013
Phone	405 726-9827
CertificateType	1
CertificateEffectiveDate	12/19/2022
CertificateExpirationDate	12/18/2024
FacilityType	Accreditation

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This page was last updated on: 4/23/2024