37D2238225 CLIA NUMBER - MPP INFUSION CENTER OF TULSA, LLC

Laboratory Demographics

  • CLIA Code: 37D2238225
  • Facility Name: MPP INFUSION CENTER OF TULSA, LLC
  • Facility Address: 8806 S YALE BLVD, STE B
    TULSA, OK
    ZIP 74137
  • Facility Phone: 918 710-2062
  • Facility Type: Other - INFUSION CENTER
  • Facility Type: Waiver
  • Lab Director: IFTKAR HUSSAIN
  • NPI Number: 1639709546
  • Taxonomy: 261QI0500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2238225
LAB Type Other - INFUSION CENTER
Facility Name MPP INFUSION CENTER OF TULSA, LLC
Street 8806 S YALE BLVD, STE B
City TULSA
State OK
ZIP 74137
Phone 918 710-2062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2023
Certificate Expiration Date 9/30/2025
Facility Type Other - INFUSION CENTER
Lab Director IFTKAR HUSSAIN

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This page was last updated on: 3/20/2025