37D2276940 CLIA NUMBER - QT-QUIKMED-QTCC

Laboratory Demographics

  • CLIA Code: 37D2276940
  • Facility Name: QT-QUIKMED-QTCC
  • Facility Address: 4705 S 129TH E AVE
    TULSA, OK
    ZIP 74136
  • Facility Phone: 918 994-3914
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELISSA MYERS
  • NPI Number: 1013590074
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2276940
LAB Type Physician Office
Facility Name QT-QUIKMED-QTCC
Street 4705 S 129TH E AVE
City TULSA
State OK
ZIP 74136
Phone 918 994-3914
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Physician Office
Lab Director MELISSA MYERS

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This page was last updated on: 3/20/2025