37D2296418 CLIA NUMBER - CARLISA PHILLIPS, APRN-CNP

Laboratory Demographics

  • CLIA Code: 37D2296418
  • Facility Name: CARLISA PHILLIPS, APRN-CNP
  • Facility Address: 5906 E 31ST ST, #2
    TULSA, OK
    ZIP 74135
  • Facility Phone: 918 851-8424
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CARLISA JANE PHILLIPS
  • NPI Number: 1972371896
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 37D2296418
LAB Type Practitioner Other
Facility Name CARLISA PHILLIPS, APRN-CNP
Street 5906 E 31ST ST, #2
City TULSA
State OK
ZIP 74135
Phone 918 851-8424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Practitioner Other
Lab Director CARLISA JANE PHILLIPS

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