37D2298182 CLIA NUMBER - EDMOND PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 37D2298182
  • Facility Name: EDMOND PRIMARY CARE LLC
  • Facility Address: 200 N BRYANT, STE 105
    EDMOND, OK
    ZIP 73034
  • Facility Phone: 405 300-8964
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT TODD
  • NPI Number: 1770344160
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2298182
LAB Type Physician Office
Facility Name EDMOND PRIMARY CARE LLC
Street 200 N BRYANT, STE 105
City EDMOND
State OK
ZIP 73034
Phone 405 300-8964
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Physician Office
Lab Director ROBERT TODD

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