37D2174847 CLIA NUMBER - MIDTOWN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 37D2174847
  • Facility Name: MIDTOWN PEDIATRICS
  • Facility Address: 1145 S UTICA AVE, STE 403
    TULSA, OK
    ZIP 74104
  • Facility Phone: 918 960-2006
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARITY A. POLLAK
  • NPI Number: 1669016168
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2174847
LAB Type Physician Office
Facility Name MIDTOWN PEDIATRICS
Street 1145 S UTICA AVE, STE 403
City TULSA
State OK
ZIP 74104
Phone 918 960-2006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director CHARITY A. POLLAK

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