37D2322306 CLIA NUMBER - ADVANCED WOUND THERAPY, LLC

Laboratory Demographics

  • CLIA Code: 37D2322306
  • Facility Name: ADVANCED WOUND THERAPY, LLC
  • Facility Address: 2488 E 81ST ST, STE 2000
    TULSA, OK
    ZIP 74137
  • Facility Phone: 918 592-9020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW L. CARMICHAEL
  • NPI Number: 1740084706
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2322306
LAB Type Physician Office
Facility Name ADVANCED WOUND THERAPY, LLC
Street 2488 E 81ST ST, STE 2000
City TULSA
State OK
ZIP 74137
Phone 918 592-9020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Physician Office
Lab Director MATTHEW L. CARMICHAEL

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