37D2143397 CLIA NUMBER - TEAM CLINIC MANAGMENT PARTNERS, LLC

Laboratory Demographics

  • CLIA Code: 37D2143397
  • Facility Name: TEAM CLINIC MANAGMENT PARTNERS, LLC
  • Facility Address: 3112 COOKE WAY
    OKLAHOMA CITY, OK
    ZIP 73179
  • Facility Phone: 405 600-6869
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN PENWELL
  • NPI Number: 1083276869
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2143397
LAB Type Physician Office
Facility Name TEAM CLINIC MANAGMENT PARTNERS, LLC
Street 3112 COOKE WAY
City OKLAHOMA CITY
State OK
ZIP 73179
Phone 405 600-6869
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Physician Office
Lab Director KEVIN PENWELL

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