37D2299998 CLIA NUMBER - SCISSORTAIL SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 37D2299998
  • Facility Name: SCISSORTAIL SURGERY CENTER
  • Facility Address: 2811 E 15TH ST, STE 101
    TULSA, OK
    ZIP 74104
  • Facility Phone: 918 615-9340
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AMIT MIRCHANDANI
  • NPI Number: 1255194221
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2299998
LAB Type Ambulatory Surgery Center
Facility Name SCISSORTAIL SURGERY CENTER
Street 2811 E 15TH ST, STE 101
City TULSA
State OK
ZIP 74104
Phone 918 615-9340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Ambulatory Surgery Center
Lab Director AMIT MIRCHANDANI

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