37D2162886 CLIA NUMBER - APEX SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 37D2162886
  • Facility Name: APEX SURGERY CENTER, LLC
  • Facility Address: 2001 CRADDUCK ROAD
    ADA, OK
    ZIP 74820
  • Facility Phone: 580 571-3160
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Microscopy
  • Lab Director: GLEN DIACON
  • NPI Number: 1265907885
  • Taxonomy: 261QA1903X - Clinic/Center

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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
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 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Ambulatory Surgery Center
Lab Director GLEN DIACON

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