37D2191104 CLIA NUMBER - REVAN HEALTH

Laboratory Demographics

  • CLIA Code: 37D2191104
  • Facility Name: REVAN HEALTH
  • Facility Address: 5601 NW 72ND ST, STE 142
    WARR ACRES, OK
    ZIP 73132
  • Facility Phone: 405 896-7975
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JASON REVEL
  • NPI Number: 1114540689
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2191104
LAB Type Practitioner Other
Facility Name REVAN HEALTH
Street 5601 NW 72ND ST, STE 142
City WARR ACRES
State OK
ZIP 73132
Phone 405 896-7975
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Practitioner Other
Lab Director JASON REVEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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