37D2312898 CLIA NUMBER - THERAS, LLC

Laboratory Demographics

  • CLIA Code: 37D2312898
  • Facility Name: THERAS, LLC
  • Facility Address: 3421 SW 104TH ST, STE 5
    OKLAHOMA CITY, OK
    ZIP 73159
  • Facility Phone: 405 237-3383
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RYAN H. BUI
  • NPI Number: 1720817786
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2312898
LAB Type Physician Office
Facility Name THERAS, LLC
Street 3421 SW 104TH ST, STE 5
City OKLAHOMA CITY
State OK
ZIP 73159
Phone 405 237-3383
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director RYAN H. BUI

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