37D2299466 CLIA NUMBER - HEART LIFELINE LLC

Laboratory Demographics

  • CLIA Code: 37D2299466
  • Facility Name: HEART LIFELINE LLC
  • Facility Address: 312 NE 28TH ST, #107
    OKLAHOMA CITY, OK
    ZIP 73105
  • Facility Phone: 682 847-1407
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DELILAH NSUME ESAMA
  • NPI Number: 1407615545
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 37D2299466
LAB Type Mobile Laboratory
Facility Name HEART LIFELINE LLC
Street 312 NE 28TH ST, #107
City OKLAHOMA CITY
State OK
ZIP 73105
Phone 682 847-1407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Mobile Laboratory
Lab Director DELILAH NSUME ESAMA

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