37D2271557 CLIA NUMBER - WARREN CLINIC EMPLOYEE DIRECT

Laboratory Demographics

  • CLIA Code: 37D2271557
  • Facility Name: WARREN CLINIC EMPLOYEE DIRECT
  • Facility Address: 2950 S ELM PLACE, STE 460
    BROKEN ARROW, OK
    ZIP 74012
  • Facility Phone: 918 884-2884
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COLIN A. MAROUK
  • NPI Number: 1285356998
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2271557
LAB Type Physician Office
Facility Name WARREN CLINIC EMPLOYEE DIRECT
Street 2950 S ELM PLACE, STE 460
City BROKEN ARROW
State OK
ZIP 74012
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 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Physician Office
Lab Director COLIN A. MAROUK

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