OSU CLINICAL LAB SERVICES
NPI 1447662010
Clinical Medical Laboratory in Tulsa, OK

Active since May 29, 2014CLIA 37D1099477 · Certificate of Compliance
1111 W 17TH ST, TULSA, OK 74107(918) 561-1421 Get Directions Write a Review

NPPES record last updated: August 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Osu Clinical Lab Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OSU CLINICAL LAB SERVICES (NPI 1447662010) is a healthcare organization registered as a clinical medical laboratory in Tulsa, Oklahoma and active in the NPI registry since May 2014. The organization holds a CLIA Certificate of Compliance certificate valid through December 9, 2027 and lists Jarrad R Wagner, Associate Professor & Director, as its authorized official.

NPPES Registry Identity

NPI1447662010
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSTATE OF OKLAHOMA
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address1111 W 17th StTulsa, OK 74107-1886 · (918) 561-1421
Organization SubpartNo
Authorized OfficialJarrad R WagnerAssociate Professor & Director · (918) 561-8247
Enumeration DateMay 29, 2014
Last NPPES UpdateAugust 31, 2017
NPI 1447662010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in OK · 37D2076904
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1111 W 17TH ST, Tulsa, OK 74107

Other Names 1

Doing Business AsOsu Clinical Lab Services

Other Identifiers 1

Medicaid200217940KOK

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 37D1099477

Osu - Clinical Laboratory · Tulsa, OK
Active · expires Dec 9, 2027
CLIA Number37D1099477
Laboratory TypeAcademic Health Center
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorTamar Baruch-Finkel
Laboratory Phone(918) 561-1440
Laboratory LocationOsu - Clinical Laboratory1111 W 17th Street Felmlee Building Room 171, Tulsa, OK 74107
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Oklahoma's NPI number?

The NPI number for State Of Oklahoma is 1447662010. It was assigned to this organization in the NPPES registry on May 29, 2014. The provider is doing business as Osu Clinical Lab Services.

Where is State Of Oklahoma located?

State Of Oklahoma is located at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (918) 561-1421.

What is State Of Oklahoma's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does State Of Oklahoma hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 37D1099477) is associated with this NPI, valid through December 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for State Of Oklahoma was last updated on August 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.