37D2301678 CLIA NUMBER - MED SOUTHWEST, PLLC

Laboratory Demographics

  • CLIA Code: 37D2301678
  • Facility Name: MED SOUTHWEST, PLLC
  • Facility Address: 6351 E 67TH PL
    TULSA, OK
    ZIP 74136
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH KAVANAGH
  • NPI Number: 1912678046
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 37D2301678
LAB Type Physician Office
Facility Name MED SOUTHWEST, PLLC
Street 6351 E 67TH PL
City TULSA
State OK
ZIP 74136
Phone 703 847-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Physician Office
Lab Director JOSEPH KAVANAGH

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