37D2163462 CLIA NUMBER - CAREATC OKC HEALTHPLEX SOUTH

Laboratory Demographics

CLIA Number: 37D2163462

Facility Name: CAREATC OKC HEALTHPLEX SOUTH

Facility Address:
13500 S TULSA DR
OKLAHOMA CITY, OK
ZIP 73170
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Facility Phone Number: 918 779-7471

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114578887

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	37D2163462
LAB Type	Physician Office
Facility Name	CAREATC OKC HEALTHPLEX SOUTH
Street	13500 S TULSA DR
City	OKLAHOMA CITY
State	OK
ZIP	73170
Phone	918 779-7471
CertificateType	4
CertificateEffectiveDate	3/14/2023
CertificateExpirationDate	3/13/2025
FacilityType	Waiver

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