37D2198864 CLIA NUMBER - ORTHOOKLAHOMA SPINE AND SPECIALTY

Laboratory Demographics

  • CLIA Code: 37D2198864
  • Facility Name: ORTHOOKLAHOMA SPINE AND SPECIALTY
  • Facility Address: 1301 W 6TH AVE, STE 207
    STILLWATER, OK
    ZIP 74074
  • Facility Phone: 405 707-0900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREA FRALEY
  • NPI Number: 1891855722
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 37D2198864
LAB Type Physician Office
Facility Name ORTHOOKLAHOMA SPINE AND SPECIALTY
Street 1301 W 6TH AVE, STE 207
City STILLWATER
State OK
ZIP 74074
Phone 405 707-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director ANDREA FRALEY

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