37D2268738 CLIA NUMBER - OSU CARDIOVASCULAR MEDICINE

Laboratory Demographics

  • CLIA Code: 37D2268738
  • Facility Name: OSU CARDIOVASCULAR MEDICINE
  • Facility Address: 802 S JACKSON AVE, STE 225
    TULSA, OK
    ZIP 74127
  • Facility Phone: 918 582-7711
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DAVID M. WILKETT
  • NPI Number: 1346784683
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2268738
LAB Type Community Clinic
Facility Name OSU CARDIOVASCULAR MEDICINE
Street 802 S JACKSON AVE, STE 225
City TULSA
State OK
ZIP 74127
Phone 918 582-7711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Community Clinic
Lab Director DAVID M. WILKETT

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