37D2252017 CLIA NUMBER - UGAF, LLC

Laboratory Demographics

  • CLIA Code: 37D2252017
  • Facility Name: UGAF, LLC
  • Facility Address: 3803 S 79TH E AVE, STE 100
    TULSA, OK
    ZIP 74145
  • Facility Phone: 918 630-5746
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CHARONDA K. JORDAN
  • NPI Number: 1891315461
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 37D2252017
LAB Type Home Health Agency
Facility Name UGAF, LLC
Street 3803 S 79TH E AVE, STE 100
City TULSA
State OK
ZIP 74145
Phone 918 630-5746
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Home Health Agency
Lab Director CHARONDA K. JORDAN

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