37D2317417 CLIA NUMBER - BRUCE A MACKEY MD PC

Laboratory Demographics

  • CLIA Code: 37D2317417
  • Facility Name: BRUCE A MACKEY MD PC
  • Facility Address: 3957 E COVELL RD
    EDMOND, OK
    ZIP 73034
  • Facility Phone: 405 285-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE A. MACKEY
  • NPI Number: 1891799821
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2317417
LAB Type Physician Office
Facility Name BRUCE A MACKEY MD PC
Street 3957 E COVELL RD
City EDMOND
State OK
ZIP 73034
Phone 405 285-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director BRUCE A. MACKEY

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