37D2185778 CLIA NUMBER - KIDZCHOICE AT SOUTHEAST CLINIC PEDIATRICS

Laboratory Demographics

  • CLIA Code: 37D2185778
  • Facility Name: KIDZCHOICE AT SOUTHEAST CLINIC PEDIATRICS
  • Facility Address: 101 S OKLAHOMA
    MCALESTER, OK
    ZIP 74501
  • Facility Phone: 918 423-4900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM L. ECKSTEIN
  • NPI Number: 1043430077
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 37D2185778
LAB Type Physician Office
Facility Name KIDZCHOICE AT SOUTHEAST CLINIC PEDIATRICS
Street 101 S OKLAHOMA
City MCALESTER
State OK
ZIP 74501
Phone 918 423-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Physician Office
Lab Director WILLIAM L. ECKSTEIN

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