37D2307979 CLIA NUMBER - LISA D TAYLOR MD

Laboratory Demographics

  • CLIA Code: 37D2307979
  • Facility Name: LISA D TAYLOR MD
  • Facility Address: 4514 MEMORIAL CIRCLE, STE B
    OKLAHOMA CITY, OK
    ZIP 73142
  • Facility Phone: 405 751-1321
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LISA D. TAYLOR
  • NPI Number: 1891891305
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 37D2307979
LAB Type Ambulatory Surgery Center
Facility Name LISA D TAYLOR MD
Street 4514 MEMORIAL CIRCLE, STE B
City OKLAHOMA CITY
State OK
ZIP 73142
Phone 405 751-1321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Ambulatory Surgery Center
Lab Director LISA D. TAYLOR

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