37D2320152 CLIA NUMBER - MED SOUTHWEST, PLLC

Laboratory Demographics

  • CLIA Code: 37D2320152
  • Facility Name: MED SOUTHWEST, PLLC
  • Facility Address: 111 S LEWIS AVE
    TULSA, OK
    ZIP 74104
  • Facility Phone: (703) 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH KAVANAGH
  • NPI Number: 1043166341
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2320152
LAB Type Physician Office
Facility Name MED SOUTHWEST, PLLC
Street 111 S LEWIS AVE
City TULSA
State OK
ZIP 74104
Phone 7038478899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director JOSEPH KAVANAGH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026