37D2152927 CLIA NUMBER - ICARE CENTER

Laboratory Demographics

  • CLIA Code: 37D2152927
  • Facility Name: ICARE CENTER
  • Facility Address: 21001 SE 29TH ST
    HARRAH, OK
    ZIP 73045
  • Facility Phone: 405 391-5526
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SENTHIL KUMAR RAJU
  • NPI Number: 1881190833
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2152927
LAB Type Physician Office
Facility Name ICARE CENTER
Street 21001 SE 29TH ST
City HARRAH
State OK
ZIP 73045
Phone 405 391-5526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Physician Office
Lab Director SENTHIL KUMAR RAJU

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