37D2186608 CLIA NUMBER - JUST KIDS PEDIATRICS - BETHANY

Laboratory Demographics

  • CLIA Code: 37D2186608
  • Facility Name: JUST KIDS PEDIATRICS - BETHANY
  • Facility Address: 7530 NW 23RD ST
    BETHANY, OK
    ZIP 73008
  • Facility Phone: 405 757-7818
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN E. BEAVERS
  • NPI Number: 1063846699
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 37D2186608
LAB Type Physician Office
Facility Name JUST KIDS PEDIATRICS - BETHANY
Street 7530 NW 23RD ST
City BETHANY
State OK
ZIP 73008
Phone 405 757-7818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Physician Office
Lab Director JOHN E. BEAVERS

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