37D2153168 CLIA NUMBER - PROGENTEC DIAGNOSTICS, INC

Laboratory Demographics

  • CLIA Code: 37D2153168
  • Facility Name: PROGENTEC DIAGNOSTICS, INC
  • Facility Address: 655 RESEARCH PARKWAY, STE 538
    OKLAHOMA CITY, OK
    ZIP 73104
  • Facility Phone: 405 216-4818
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ELDON R. JUPE
  • NPI Number: 1881178010
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 37D2153168
LAB Type Independent
Facility Name PROGENTEC DIAGNOSTICS, INC
Street 655 RESEARCH PARKWAY, STE 538
City OKLAHOMA CITY
State OK
ZIP 73104
Phone 405 216-4818
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Independent
Lab Director DR. ELDON R. JUPE

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