37D2214146 CLIA NUMBER - KM NEUROSURGERY CLINIC

Laboratory Demographics

  • CLIA Code: 37D2214146
  • Facility Name: KM NEUROSURGERY CLINIC
  • Facility Address: 6802 S OLYMPIA AVE, STE 275
    TULSA, OK
    ZIP 74132
  • Facility Phone: 918 600-0327
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KYLE J. MANGELS
  • NPI Number: 1902498686
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 37D2214146
LAB Type Physician Office
Facility Name KM NEUROSURGERY CLINIC
Street 6802 S OLYMPIA AVE, STE 275
City TULSA
State OK
ZIP 74132
Phone 918 600-0327
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Physician Office
Lab Director KYLE J. MANGELS

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