37D2326447 CLIA NUMBER - ADVANTAGE HOME MEDICAL

Laboratory Demographics

  • CLIA Code: 37D2326447
  • Facility Name: ADVANTAGE HOME MEDICAL
  • Facility Address: 1514 SW 119TH ST
    OKLAHOMA CITY, OK
    ZIP 73170
  • Facility Phone: 405 689-0433
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELE L. LANGE
  • NPI Number: 1235902388
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2326447
LAB Type Physician Office
Facility Name ADVANTAGE HOME MEDICAL
Street 1514 SW 119TH ST
City OKLAHOMA CITY
State OK
ZIP 73170
Phone 405 689-0433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Physician Office
Lab Director MICHELE L. LANGE

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