37D2211043 CLIA NUMBER - ZOOM DIAGNOSTIC IMAGING ARDMORE, LLC

Laboratory Demographics

  • CLIA Code: 37D2211043
  • Facility Name: ZOOM DIAGNOSTIC IMAGING ARDMORE, LLC
  • Facility Address: 1228 MERRICK DR
    ARDMORE, OK
    ZIP 73401
  • Facility Phone: (580) 319-5091
  • Facility Type: Other - DIAGNOSTIC IMAGING CTR
  • Facility Type: Waiver
  • Lab Director: JERMAINE A. WADE
  • NPI Number: 1083363865
  • Taxonomy: 261QR0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2211043
LAB Type Other - DIAGNOSTIC IMAGING CTR
Facility Name ZOOM DIAGNOSTIC IMAGING ARDMORE, LLC
Street 1228 MERRICK DR
City ARDMORE
State OK
ZIP 73401
Phone 5803195091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Other - DIAGNOSTIC IMAGING CTR
Lab Director JERMAINE A. WADE

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: 5/18/2026