37D2192742 CLIA NUMBER - CARESOURCE, LLC

Laboratory Demographics

  • CLIA Code: 37D2192742
  • Facility Name: CARESOURCE, LLC
  • Facility Address: 4350 WILL RODGERS PRKWY, STE 102
    OKLAHOMA CITY, OK
    ZIP 73108
  • Facility Phone: 405 948-2822
  • Facility Type: Other - DME/CPAP PROVIDER
  • Facility Type: Waiver
  • Lab Director: LAURA TRAMMELL-DAWSON
  • NPI Number: 1447249719
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 37D2192742
LAB Type Other - DME/CPAP PROVIDER
Facility Name CARESOURCE, LLC
Street 4350 WILL RODGERS PRKWY, STE 102
City OKLAHOMA CITY
State OK
ZIP 73108
Phone 405 948-2822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Other - DME/CPAP PROVIDER
Lab Director LAURA TRAMMELL-DAWSON

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