37D2280767 CLIA NUMBER - ON CALL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 37D2280767
  • Facility Name: ON CALL PEDIATRICS
  • Facility Address: 12150 E 96TH STREET NORTH, STE 101
    OWASSO, OK
    ZIP 74055
  • Facility Phone: 918 716-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMANDA M. MADDEN
  • NPI Number: 1730885534
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2280767
LAB Type Physician Office
Facility Name ON CALL PEDIATRICS
Street 12150 E 96TH STREET NORTH, STE 101
City OWASSO
State OK
ZIP 74055
Phone 918 716-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Physician Office
Lab Director AMANDA M. MADDEN

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