37D2282725 CLIA NUMBER - TRIAD COMPLETE HEALTHCARE A06, LLC

Laboratory Demographics

  • CLIA Code: 37D2282725
  • Facility Name: TRIAD COMPLETE HEALTHCARE A06, LLC
  • Facility Address: 1411 W 12TH AVE, STE E
    STILLWATER, OK
    ZIP 74074
  • Facility Phone: 405 338-7707
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALBERTO GOMEZ
  • NPI Number: 1932809738
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2282725
LAB Type Physician Office
Facility Name TRIAD COMPLETE HEALTHCARE A06, LLC
Street 1411 W 12TH AVE, STE E
City STILLWATER
State OK
ZIP 74074
Phone 405 338-7707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Physician Office
Lab Director ALBERTO GOMEZ

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