37D2319110 CLIA NUMBER - TRIAD PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 37D2319110
  • Facility Name: TRIAD PEDIATRICS LLC
  • Facility Address: 1001 HOSPITAL CIRCLE
    KINGFISHER, OK
    ZIP 73750
  • Facility Phone: 405 375-7935
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RYAN REYNOLDS
  • NPI Number: 1477290591
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 37D2319110
LAB Type Physician Office
Facility Name TRIAD PEDIATRICS LLC
Street 1001 HOSPITAL CIRCLE
City KINGFISHER
State OK
ZIP 73750
Phone 405 375-7935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Physician Office
Lab Director RYAN REYNOLDS

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