37D2290818 CLIA NUMBER - SOUTH TULSA PLASTIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 37D2290818
  • Facility Name: SOUTH TULSA PLASTIC SURGERY CENTER
  • Facility Address: 224 S GATEWAY PL, STE 202
    JENKS, OK
    ZIP 74037
  • Facility Phone: (918) 518-5144
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRENDA G. SCHIESEL
  • NPI Number: 1245093699
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2290818
LAB Type Ambulatory Surgery Center
Facility Name SOUTH TULSA PLASTIC SURGERY CENTER
Street 224 S GATEWAY PL, STE 202
City JENKS
State OK
ZIP 74037
Phone 9185185144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Ambulatory Surgery Center
Lab Director BRENDA G. SCHIESEL

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This page was last updated on: 5/18/2026