37D2207636 CLIA NUMBER - OKC PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 37D2207636
  • Facility Name: OKC PRIMARY CARE
  • Facility Address: 4631 N MAY AVE
    OKLAHOMA CITY, OK
    ZIP 73112
  • Facility Phone: 405 601-3330
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JENNIFER PANNELL
  • NPI Number: 1154858645
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2207636
LAB Type Practitioner Other
Facility Name OKC PRIMARY CARE
Street 4631 N MAY AVE
City OKLAHOMA CITY
State OK
ZIP 73112
Phone 405 601-3330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Practitioner Other
Lab Director JENNIFER PANNELL

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