OrganizationCertigen Laboratory, LlcClinical Medical LaboratoryLaboratoriesPractice Address9309 S Toledo Ave, Suite A, Tulsa, OK 74137-2752(918) 960-3150PECOS EnrollmentBased on the most recent information from CMS, provider Certigen Laboratory, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1336556745Provider TypeOrganizationFull NameCertigen Laboratory, LlcSubpartNoEnumeration Date7/17/2014Last Updated1/13/2025Contact InformationPractice LocationPractice Address9309 S Toledo Ave, Suite A, Tulsa, OK 74137-2752Phone(918) 960-3150Fax(918) 960-3154Mailing LocationMailing AddressPO Box 649210, Dallas, TX 75264-9210Phone(918) 960-3150Fax(918) 960-3154Authorized OfficialNameKimrey, Kimberly Kay (Operations Manager)Phone(918) 960-3150Provider TaxonomiesCodeDescriptionLicenseCode291U00000XPrimaryDescriptionClinical Medical LaboratoryLaboratoriesLicense37D2075661Oklahoma