37D2295134 CLIA NUMBER - MOSAIC INFUSION SOLUTIONS, LLC

Laboratory Demographics

  • CLIA Code: 37D2295134
  • Facility Name: MOSAIC INFUSION SOLUTIONS, LLC
  • Facility Address: 14000 N PORTLAND AVE, STE 204
    OKLAHOMA CITY, OK
    ZIP 73134
  • Facility Phone: 405 768-1061
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: WHITNEY M. SIMMONS
  • NPI Number: 1992300271
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2295134
LAB Type Practitioner Other
Facility Name MOSAIC INFUSION SOLUTIONS, LLC
Street 14000 N PORTLAND AVE, STE 204
City OKLAHOMA CITY
State OK
ZIP 73134
Phone 405 768-1061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Practitioner Other
Lab Director WHITNEY M. SIMMONS

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