37D2162886 CLIA NUMBER - APEX SURGERY CENTER, LLC

Laboratory Demographics

CLIA Number: 37D2162886

Facility Name: APEX SURGERY CENTER, LLC

Facility Address:
2001 CRADDUCK ROAD
ADA, OK
ZIP 74820
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Facility Phone Number: 580 571-3160

Facility Type: Ambulatory Surgery Center

Certificate Type: Microscopy

NPI Number: 1265907885

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	37D2162886
LAB Type	Ambulatory Surgery Center
Facility Name	APEX SURGERY CENTER, LLC
Street	2001 CRADDUCK ROAD
City	ADA
State	OK
ZIP	74820
Phone	580 571-3160
CertificateType	3
CertificateEffectiveDate	3/4/2023
CertificateExpirationDate	3/3/2025
FacilityType	PPMP

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