37D2279326 CLIA NUMBER - REDEEMED AND RESTORED WELLNESSS

Laboratory Demographics

  • CLIA Code: 37D2279326
  • Facility Name: REDEEMED AND RESTORED WELLNESSS
  • Facility Address: 106 BURR
    PAULS VALLEY, OK
    ZIP 73075
  • Facility Phone: 405 365-8824
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHLI E. STAMPER
  • NPI Number: 1578279006
  • Taxonomy: 363L00000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2279326
LAB Type Physician Office
Facility Name REDEEMED AND RESTORED WELLNESSS
Street 106 BURR
City PAULS VALLEY
State OK
ZIP 73075
Phone 405 365-8824
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Physician Office
Lab Director ASHLI E. STAMPER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025