37D2279580 CLIA NUMBER - OK MEDICINE, LLC

Laboratory Demographics

  • CLIA Code: 37D2279580
  • Facility Name: OK MEDICINE, LLC
  • Facility Address: 3410 NW 135TH ST
    OKLAHOMA CITY, OK
    ZIP 73120
  • Facility Phone: 405 751-6111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WALTER S. WAUGH
  • NPI Number: 1760240501
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2279580
LAB Type Physician Office
Facility Name OK MEDICINE, LLC
Street 3410 NW 135TH ST
City OKLAHOMA CITY
State OK
ZIP 73120
Phone 405 751-6111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Physician Office
Lab Director WALTER S. WAUGH

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