37D2242561 CLIA NUMBER - REFINE MEDICAL

Laboratory Demographics

  • CLIA Code: 37D2242561
  • Facility Name: REFINE MEDICAL
  • Facility Address: 2216 NW 164TH, A
    EDMOND, OK
    ZIP 73013
  • Facility Phone: 405 938-0874
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEATHER KENNEDY
  • NPI Number: 1447977491
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2242561
LAB Type Physician Office
Facility Name REFINE MEDICAL
Street 2216 NW 164TH, A
City EDMOND
State OK
ZIP 73013
Phone 405 938-0874
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Physician Office
Lab Director HEATHER KENNEDY

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