OKLAHOMA STATE DEPARTMENT OF HEALTH
NPI 1477670529
Clinical Medical Laboratory in Stillwater, OK

Active since March 23, 2007CLIA 37D0656594 · Certificate of Compliance
4615 W LAKEVIEW RD, STILLWATER, OK 74075(405) 564-7750 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oklahoma State Department Of Health NPPES

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

OKLAHOMA STATE DEPARTMENT OF HEALTH (NPI 1477670529) is a healthcare organization registered as a clinical medical laboratory in Stillwater, Oklahoma and active in the NPI registry since March 2007. The organization holds a CLIA Certificate of Compliance certificate valid through September 7, 2027, maintains a secondary practice location in Oklahoma City, and lists Jennifer Han, Director, as its authorized official.

NPPES Registry Identity

NPI1477670529
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameOKLAHOMA STATE DEPARTMENT OF HEALTH
Location Address4615 W LAKEVIEW RDStillwater, OK 74075-2173
Mailing Address123 Robert S Kerr Ave Ste 1702Oklahoma City, OK 73102-6406 · (405) 426-8650 · Fax (405) 900-7598
Organization SubpartNo
Authorized OfficialJennifer HanDirector · (405) 426-8139
Enumeration DateMarch 23, 2007
Last NPPES UpdateDecember 5, 2025
NPPES CertifiedDecember 5, 2025
NPI 1477670529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
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.
4615 W LAKEVIEW RD, Stillwater, OK 74075

Secondary Practice Location 1

Location 1123 Robert S Kerr Ave Ste 1702Oklahoma City, OK 73102-6406 · Phone (405) 426-8650

Other Identifiers 1

Medicaid100758760AOK

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 37D0656594

Oklahoma State Department Of Health Public Health Laboratory · Stillwater, OK
Active · expires Sep 7, 2027
CLIA Number37D0656594
Laboratory TypePublic Health Laboratories
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorDr. Samuel T. Dunn
Laboratory Phone(405) 564-7750
Laboratory LocationOklahoma State Department Of Health Public Health Laboratory4615 W Lake View Rd, Stillwater, OK 74075
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Oklahoma State Department Of Health's NPI number?

The NPI number for Oklahoma State Department Of Health is 1477670529. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Oklahoma State Department Of Health located?

Oklahoma State Department Of Health is located at 4615 W Lakeview Rd, Stillwater, OK 74075. The listed phone number is (405) 564-7750.

What is Oklahoma State Department Of Health's specialty?

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

Does Oklahoma State Department Of Health hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 37D0656594) is associated with this NPI, valid through September 7, 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 Oklahoma State Department Of Health was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.