37D2207113 CLIA NUMBER - OKLAHOMA BAPTIST UNIVERSITY ATHLETIC TRAINING ROOM

Laboratory Demographics

  • CLIA Code: 37D2207113
  • Facility Name: OKLAHOMA BAPTIST UNIVERSITY ATHLETIC TRAINING ROOM
  • Facility Address: 500 W UNIVERSITY
    SHAWNEE, OK
    ZIP 74801
  • Facility Phone: 405 585-5351
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: BENJAMIN J. CLEVELAND
  • NPI Number: 1497182612
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 37D2207113
LAB Type School/Student Health Service
Facility Name OKLAHOMA BAPTIST UNIVERSITY ATHLETIC TRAINING ROOM
Street 500 W UNIVERSITY
City SHAWNEE
State OK
ZIP 74801
Phone 405 585-5351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type School/Student Health Service
Lab Director BENJAMIN J. CLEVELAND

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