37D2328344 CLIA NUMBER - SUNRISE PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 37D2328344
  • Facility Name: SUNRISE PEDIATRICS PLLC
  • Facility Address: 1201 MAGNOLIA CT, STE 109
    MOORE, OK
    ZIP 73160
  • Facility Phone: 405 759-4155
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BETTY HARMON
  • NPI Number: 1871483883
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 37D2328344
LAB Type Physician Office
Facility Name SUNRISE PEDIATRICS PLLC
Street 1201 MAGNOLIA CT, STE 109
City MOORE
State OK
ZIP 73160
Phone 405 759-4155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director BETTY HARMON

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