37D2150595 CLIA NUMBER - SOLIDARITUS FHC - OWASSO CLINIC

Laboratory Demographics

  • CLIA Code: 37D2150595
  • Facility Name: SOLIDARITUS FHC - OWASSO CLINIC
  • Facility Address: 14601 E 88TH PLACE N, SUITE 302
    OWASSO, OK
    ZIP 74055
  • Facility Phone: (918) 528-4733
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAUL BRILLHART
  • NPI Number: 1548751860
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2150595
LAB Type Physician Office
Facility Name SOLIDARITUS FHC - OWASSO CLINIC
Street 14601 E 88TH PLACE N, SUITE 302
City OWASSO
State OK
ZIP 74055
Phone 9185284733
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Physician Office
Lab Director PAUL BRILLHART

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This page was last updated on: 5/18/2026