37D2301908 CLIA NUMBER - SUMMIT RHEUMATOLOGY

Laboratory Demographics

  • CLIA Code: 37D2301908
  • Facility Name: SUMMIT RHEUMATOLOGY
  • Facility Address: 17937 N PENNSYLVANIA AVE, STE 201
    EDMOND, OK
    ZIP 73012
  • Facility Phone: 480 494-2770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRITTANY S. PANICO
  • NPI Number: 1730803131
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2301908
LAB Type Physician Office
Facility Name SUMMIT RHEUMATOLOGY
Street 17937 N PENNSYLVANIA AVE, STE 201
City EDMOND
State OK
ZIP 73012
Phone 480 494-2770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Physician Office
Lab Director BRITTANY S. PANICO

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