37D2173725 CLIA NUMBER - JENNY T LE, MD DIRECT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 37D2173725
  • Facility Name: JENNY T LE, MD DIRECT PRIMARY CARE
  • Facility Address: 800 W 18TH STREET, STE 140
    EDMOND, OK
    ZIP 73013
  • Facility Phone: 405 896-3482
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNY T. LE
  • NPI Number: 1053315937
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2173725
LAB Type Physician Office
Facility Name JENNY T LE, MD DIRECT PRIMARY CARE
Street 800 W 18TH STREET, STE 140
City EDMOND
State OK
ZIP 73013
Phone 405 896-3482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Physician Office
Lab Director JENNY T. LE

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