37D2269942 CLIA NUMBER - WARREN CLINIC EMPLOYEE DIRECT

Laboratory Demographics

  • CLIA Code: 37D2269942
  • Facility Name: WARREN CLINIC EMPLOYEE DIRECT
  • Facility Address: 1866 E 15TH ST
    TULSA, OK
    ZIP 74104
  • Facility Phone: 918 884-2884
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT F. VILLAREAL
  • NPI Number: 1790407419
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2269942
LAB Type Physician Office
Facility Name WARREN CLINIC EMPLOYEE DIRECT
Street 1866 E 15TH ST
City TULSA
State OK
ZIP 74104
Phone 918 884-2884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director ROBERT F. VILLAREAL

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