37D2196056 CLIA NUMBER - RITA HANCOCK MD PLLC

Laboratory Demographics

  • CLIA Code: 37D2196056
  • Facility Name: RITA HANCOCK MD PLLC
  • Facility Address: 1601 SW 89TH ST, STE E-200
    OKLAHOMA CITY, OK
    ZIP 73159
  • Facility Phone: 405 900-5300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RITA M. HANCOCK
  • NPI Number: 1861449563
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 37D2196056
LAB Type Physician Office
Facility Name RITA HANCOCK MD PLLC
Street 1601 SW 89TH ST, STE E-200
City OKLAHOMA CITY
State OK
ZIP 73159
Phone 405 900-5300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Physician Office
Lab Director RITA M. HANCOCK

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