37D2313040 CLIA NUMBER - ELEVATE MED WELLNESS

Laboratory Demographics

  • CLIA Code: 37D2313040
  • Facility Name: ELEVATE MED WELLNESS
  • Facility Address: 314 E 5TH AVE
    OWASSO, OK
    ZIP 74055
  • Facility Phone: 918 706-1854
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMANTHA T. ENGLAND
  • NPI Number: 1467280669
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2313040
LAB Type Physician Office
Facility Name ELEVATE MED WELLNESS
Street 314 E 5TH AVE
City OWASSO
State OK
ZIP 74055
Phone 918 706-1854
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Physician Office
Lab Director SAMANTHA T. ENGLAND

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